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TRICITY RIVERSIDE DIALYSIS
NPI 1003396615
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Riverside, CA

Active since August 14, 2018CLIA 05D2167318 · Waiver
1/5
Overall Rating
7275 INDIANA AVE, RIVERSIDE, CA 92504(951) 343-1978 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tricity Riverside Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRICITY RIVERSIDE DIALYSIS (NPI 1003396615) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Riverside, California and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Mohammed Qutub Khan, President, as its authorized official.

NPPES Registry Identity

NPI1003396615
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTRICITY RIVERSIDE DIALYSIS
Location Address7275 INDIANA AVERiverside, CA 92504-4543
Mailing Address3595 Van Buren Blvd Ste 203Riverside, CA 92503-0311 · (951) 343-1978
Phone(951) 343-1978
Organization SubpartNo
Authorized OfficialMohammed Qutub KhanPresident · (951) 343-1978
Enumeration DateAugust 14, 2018
Last NPPES UpdateMarch 25, 2019
✔ NPI 1003396615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
7275 INDIANA AVE, Riverside, CA 92504
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2167318

Tricity Riverside Dialysis · Riverside, CA
Active · expires Jun 4, 2027
CLIA Number05D2167318
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorMohammed Khan
Laboratory Phone(951) 354-3966
Laboratory LocationTricity Riverside Dialysis7275 Indiana Ave Ste 100, Riverside, CA 92504
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Tricity Riverside Dialysis (CMS certification number 552899), from CMS Care Compare.

Tricity Riverside Dialysis

Dialysis facility · Riverside, CA
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number552899
ESRD NetworkNetwork 18
Hemodialysis Stations22
Medicare-Certified SinceMarch 23, 2020
Location7275 Indiana Ave #100Riverside, CA 92504 · Riverside County
Phone(951) 354-3966
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE NEPHROLOGY PHYSICIANS INC
Specialist
7275 INDIANA AVE
RIVERSIDE, CA 92504
Riverside County (951) 343-1978

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tricity Riverside Dialysis's NPI number?

The NPI number for Tricity Riverside Dialysis is 1003396615. It was assigned to this organization in the NPPES registry on August 14, 2018.

Where is Tricity Riverside Dialysis located?

Tricity Riverside Dialysis is located at 7275 Indiana Ave, Riverside, CA 92504. The listed phone number is (951) 343-1978.

What is Tricity Riverside Dialysis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Tricity Riverside Dialysis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2167318) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Tricity Riverside Dialysis a Medicare-certified dialysis facility?

Yes. Tricity Riverside Dialysis is a Medicare-certified dialysis facility, certified since March 23, 2020.

What quality rating does Tricity Riverside Dialysis have?

CMS rates Tricity Riverside Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Tricity Riverside Dialysis was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.