SOUTH GATE DIALYSIS
NPI 1184004137
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in South Gate, CA

Q: What is Olive Dialysis LLC's NPI number?

The NPI number for Olive Dialysis LLC is 1184004137. It was assigned to this organization in the NPPES registry on June 4, 2015. The provider is doing business as South Gate Dialysis.

Q: What is Olive Dialysis LLC's specialty?

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

Q: What quality rating does Olive Dialysis LLC have?

CMS rates DaVita South Gate Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since June 04, 2015CLIA 05D2100865 · Waiver

2/5

Overall Rating

9848 ATLANTIC AVE, SOUTH GATE, CA 90280(323) 569-1035(323) 569-1790 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Dec 1, 2021, Jul 26, 2021 and 1 more (4 updates tracked since 2018).

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About South Gate Dialysis NPPES

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

SOUTH GATE DIALYSIS (NPI 1184004137) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in South Gate, California and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1184004137

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameOLIVE DIALYSIS LLC

Location Address9848 ATLANTIC AVESouth Gate, CA 90280-5219

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(323) 569-1035

Fax(323) 569-1790

Organization SubpartNo

Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641

Enumeration DateJune 4, 2015

Last NPPES UpdateAugust 14, 20244 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1184004137 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

9848 ATLANTIC AVE, South Gate, CA 90280

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Other Names 1

Doing Business AsSouth Gate Dialysis

Other Identifiers 1

Medicaid1184004137CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 05D2100865

South Gate Dialysis · South Gate, CA

Active · expires Aug 23, 2027

CLIA Number05D2100865

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateAugust 24, 2025

Certificate Expiration DateAugust 23, 2027

Laboratory DirectorWen-Yuan Chiang, Do

Laboratory Phone(323) 569-1035

Laboratory LocationSouth Gate Dialysis9848 Atlantic Ave, South Gate, CA 90280

CLIA data matches this NPI record on: Address Name Phone

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 DaVita South Gate Dialysis (CMS certification number 552821), from CMS Care Compare.

DaVita South Gate Dialysis

Dialysis facility · South Gate, CA

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number552821

ESRD NetworkNetwork 18

Hemodialysis Stations25

Medicare-Certified SinceOctober 18, 2017

Location9848 Atlantic AvenueSouth Gate, CA 90280 · Los Angeles County

Phone(323) 569-1035

Services Offered

In-center hemodialysis Peritoneal dialysis

Patient Survey Results

Nephrologists’ communication and caring

Patients who reported their kidney doctors always communicated well and cared for them as a person.

54% 1/5

Dialysis center care and operations

Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.

61% 3/5

Providing information to patients

Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.

76% 2/5

Rating of the kidney doctors

Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).

44% 1/5

Rating of the dialysis center staff

Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).

63% 3/5

Rating of the dialysis center

Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).

73% 3/5

Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

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 Olive Dialysis LLC's NPI number?

The NPI number for Olive Dialysis LLC is 1184004137. It was assigned to this organization in the NPPES registry on June 4, 2015. The provider is doing business as South Gate Dialysis.

Where is Olive Dialysis LLC located?

Olive Dialysis LLC is located at 9848 Atlantic Ave, South Gate, CA 90280. The listed phone number is (323) 569-1035.

What is Olive Dialysis LLC'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 Olive Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2100865) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Olive Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita South Gate Dialysis is a Medicare-certified dialysis facility, certified since October 18, 2017.

What quality rating does Olive Dialysis LLC have?

CMS rates DaVita South Gate Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Olive Dialysis LLC accept?

Health plans from UnitedHealthcare list Olive Dialysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olive Dialysis LLC was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.