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BEVERLYWOOD DIALYSIS
NPI 1306243209
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Los Angeles, CA

Active since November 21, 2014CLIA 05D2100782 · Waiver
2/5
Overall Rating
2080 CENTURY PARK E, STE 210, LOS ANGELES, CA 90067(310) 772-0224(310) 772-0120 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2023, Sep 28, 2020, Jul 1, 2019 and 1 more (4 updates tracked since 2017).

About Beverlywood Dialysis NPPES

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

BEVERLYWOOD DIALYSIS (NPI 1306243209) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Los Angeles, California and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1306243209
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address2080 CENTURY PARK E, STE 210Los Angeles, CA 90067-2001
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 238-3085 · Fax (800) 268-9682
Phone(310) 772-0224
Fax(310) 772-0120
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateNovember 21, 2014
Last NPPES UpdateFebruary 12, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1306243209 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
License✔ Licensed in CA · 550003389
2080 CENTURY PARK E, Los Angeles, CA 90067
Open in Google Maps ↗

Other Names 1

Doing Business AsBeverlywood Dialysis

Other Identifiers 1

Medicaid1306243209CA

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 05D2100782

Beverlywood Dialysis · Los Angeles, CA
Active · expires Aug 20, 2027
CLIA Number05D2100782
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorLarry Froch
Laboratory Phone(562) 426-7062
Laboratory LocationBeverlywood Dialysis2080 Century Park E Ste 210, Los Angeles, CA 90067
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 DaVita Beverlywood Dialysis (CMS certification number 552800), from CMS Care Compare.

DaVita Beverlywood Dialysis

Dialysis facility · Los Angeles, CA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552800
ESRD NetworkNetwork 18
Hemodialysis Stations13
Medicare-Certified SinceOctober 26, 2016
Location2080 Century Park East, Suite 210Los Angeles, CA 90067 · Los Angeles County
Phone(310) 772-0224
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 20

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

MITCHELL E COHEN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2080 CENTURY PARK E, SUITE 1609
LOS ANGELES, CA 90067
Los Angeles County (310) 203-8664
MRS. LYDIA NARY SAR RN
Registered Nurse (Oncology)
2080 CENTURY PARK E, STE 1005
LAS ANGELES, CA 90067
Los Angeles County (310) 229-3555
DR. JESSICA JISEON CHO M.D.
Internal Medicine
2080 CENTURY PARK E, SUITE 807
LOS ANGELES, CA 90067
Los Angeles County (310) 553-6494
JULIA GERGYE
Nurse Practitioner
2080 CENTURY PARK E
LOS ANGELES, CA 90067
Los Angeles County (310) 715-3237
DR. ROYA GOLSHANI M.D.
Internal Medicine
2080 CENTURY PARK E, SUITE 1804
LOS ANGELES, CA 90067
Los Angeles County (310) 553-5588
DR. SCOTT ZEITLIN M.D.
Urology
2080 CENTURY PARK E, SUITE 1407
LOS ANGELES, CA 90067
Los Angeles County (310) 284-8191
DR. ERIC RONALD SUE M.D.
Internal Medicine
2080 CENTURY PARK E, SUITE 1605
LOS ANGELES, CA 90067
Los Angeles County (310) 556-1800
HOWARD M. MOSS MD INC.
Clinic/Center (Medical Specialty)
2080 CENTURY PARK E, SUITE 1703
LOS ANGELES, CA 90067
Los Angeles County (310) 553-2080

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 Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1306243209. It was assigned to this organization in the NPPES registry on November 21, 2014. The provider is doing business as Beverlywood Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 2080 Century Park E Ste 210, Los Angeles, CA 90067. The listed phone number is (310) 772-0224.

What is Total Renal Care Inc'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 Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2100782) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Beverlywood Dialysis is a Medicare-certified dialysis facility, certified since October 26, 2016.

What quality rating does Total Renal Care Inc have?

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

What insurance does Total Renal Care Inc accept?

Health plans from UnitedHealthcare list Total Renal Care Inc 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 Total Renal Care Inc was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.