FRESENIUS MEDICAL CARE LONG BEACH, LLC (NPI# 1689049371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689049371 |
Entity Type | Organization |
Organization Name | FRESENIUS MEDICAL CARE LONG BEACH, LLC |
Other Organization Name | BMA CARSON COMMUNITY DIALYSIS |
Practice Address |
20710 Leapwood Ave Ste E Carson CA 90746 |
Mailing Address |
20710 Leapwood Ave Ste E Carson CA 90746-3617 |
Practice Telephone | 3103238997 |
Practice Fax Number | 3103231362 |
Mailing Telephone | 3103238997 |
Mailing Fax Number | 3103231362 |
Enumeration Date | 2015-12-07 |
Last Update Date | 2018-06-14 |
Authorized Official Name | MARK FAWCETT (SVP AND TREASURER) |
Authorized Official Telephone | 7816992668 |
Is Organization Subpart | Y |
Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PTAN | 052687 | 01 |
Other Name | Type Code |
---|---|
BMA Carson Community Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912531377 | Fresenius Medical Care Long Beach, LLC | Clinic/Center | 2789 Long Beach Blvd, Long Beach, CA 90806-1519 | 2020-02-25 |
1497120182 | Fresenius Medical Care Long Beach, LLC | Clinic/Center | 440 W Ocean Blvd, Long Beach, CA 90802-4518 | 2015-12-07 |
Street Address |
20710 LEAPWOOD AVE STE E |
City | CARSON |
State | CA |
Zip Code | 90746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174172837 | Darren Nakano Chiropractic, Professional Corporation | Chiropractor | 460 East Carson Plaza Drive, Suite 116, Carson, CA 90746 | 2019-09-05 |
1205370079 | Natalie Bland | Nurse Practitioner | 454 E. Carson Plaza Drive Suite 211, Carson, CA 90746 | 2016-12-13 |
1891146767 | Francis O Okpan | Nurse Practitioner | 17546 Buttonwood Ln, Carson, CA 90746 | 2016-06-22 |
1447649108 | Brandi Glenn | Occupational Therapist | 17811 Hazelwood Court, Carson, CA 90746 | 2015-01-20 |
1700226263 | Allen Berger | Counselor | 460 Est. Carson Plaza Dr. #119, Carson, CA 90746 | 2013-06-28 |
1902147036 | Basen Inc | Counselor | 460 Carson Plaza Drive, Ste 106, Carson, CA 90746 | 2013-03-14 |
1811238298 | Basen Inc | Counselor | 460 E Carsin Plaza Dr, #106, Carson, CA 90746 | 2013-03-08 |
1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
1467718601 | Laquesha Shonte Robinson | Counselor | 460 E. Carson Plaza Drive, Suite 200, Carson, CA 90746 | 2012-04-02 |
1255576807 | Our House Transportation | Ambulance | 1123 E Dominguez St., Suite B & C, Carson, CA 90746 | 2008-12-11 |
Find all providers in zip 90746 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912497116 | Sensiba Dialysis LLC | Clinic/Center | 20930 Chico St, Carson, CA 90746-3603 | 2018-05-14 |
1700186350 | Carson-avalon Dialysis, LLC | Clinic/Center | 930 E Dominguez St, Suites B, C, D, Carson, CA 90746-3625 | 2010-10-29 |
1760594667 | Bio-medical Applications of Carson, Inc. | Clinic/Center | 20710 Leapwood Ave, Suite E/f, Carson, CA 90746-3642 | 2006-08-31 |
1811977531 | Carson Artificial Kidney Center, LLC | Clinic/Center | 1309 E Carson St, Carson, CA 90745-1631 | 2006-01-19 |
1649541954 | Total Renal Care Inc | Clinic/Center | 1309 E Carson St, Carson, CA 90745-1631 | 2012-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306444765 | Kinter Dialysis, LLC | Clinic/Center | 1055 El Camino Real, Colma, CA 94014-3234 | 2020-10-16 |
1063010734 | Monad Dialysis, LLC | Clinic/Center | 5238 Manzanita Ave, Carmichael, CA 95608-0510 | 2020-10-14 |
1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
1659997112 | Arbela Dialysis LLC | Clinic/Center | 900 Huntington Dr Ste B, San Marino, CA 91108-1825 | 2020-06-22 |
1275158487 | Cudahy Peritoneal Dialysis Center | Clinic/Center | 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 | 2020-06-12 |
1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
1790308179 | Palo Dialysis LLC | Clinic/Center | 10211 Long Beach Road, Lynwood, CA 90262-1508 | 2020-05-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.