CUDAHY PERITONEAL DIALYSIS CENTER
NPI 1275158487
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Cudahy, CA

Active since June 12, 2020
4566 FLORENCE AVE STE 3, CUDAHY, CA 90201(323) 749-5360 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2020, Jun 12, 2020 (2 updates tracked since 2020).

About Cudahy Peritoneal Dialysis Center NPPES

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

CUDAHY PERITONEAL DIALYSIS CENTER (NPI 1275158487) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Cudahy, California and active in the NPI registry since June 2020. The organization lists Marco A Martinez, President, as its authorized official.

NPPES Registry Identity

NPI1275158487
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCUDAHY PERITONEAL DIALYSIS CENTER
Location Address4566 FLORENCE AVE STE 3Cudahy, CA 90201-4346
Mailing Address4566 Florence Ave Ste 3Cudahy, CA 90201-4346 · (323) 749-5360
Organization SubpartNo
Authorized OfficialMarco A MartinezPresident · (323) 749-5360
Enumeration DateJune 12, 2020
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1275158487 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
4566 FLORENCE AVE STE 3, Cudahy, CA 90201

Other Names 1

Former Legal Business NameCudahy Peritoneal Dialysis Center

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cudahy Peritoneal Dialysis Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20201130002379Part A · End-Stage Renal Disease Facility (ESRD)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Cudahy Peritoneal Dialysis Center (CMS certification number 752535), from CMS Care Compare.

Cudahy Peritoneal Dialysis Center

Dialysis facility · Cudahy, CA
OwnershipProfit
CMS Certification Number752535
ESRD NetworkNetwork 18
Hemodialysis Stations2
Medicare-Certified SinceDecember 28, 2021
Location4566 Florence Ave Suite #3Cudahy, CA 90201 · Los Angeles County
Services Offered
Peritoneal dialysis

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 Cudahy Peritoneal Dialysis Center's NPI number?

The NPI number for Cudahy Peritoneal Dialysis Center is 1275158487. It was assigned to this organization in the NPPES registry on June 12, 2020.

Where is Cudahy Peritoneal Dialysis Center located?

Cudahy Peritoneal Dialysis Center is located at 4566 Florence Ave Ste 3, Cudahy, CA 90201. The listed phone number is (323) 749-5360.

What is Cudahy Peritoneal Dialysis Center's specialty?

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

Is Cudahy Peritoneal Dialysis Center enrolled in Medicare?

Yes. Cudahy Peritoneal Dialysis Center is registered in the Medicare PECOS enrollment system.

When is Cudahy Peritoneal Dialysis Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Is Cudahy Peritoneal Dialysis Center a Medicare-certified dialysis facility?

Yes. Cudahy Peritoneal Dialysis Center is a Medicare-certified dialysis facility, certified since December 28, 2021.

When was this NPI record last updated?

The NPPES record for Cudahy Peritoneal Dialysis Center was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.