1. Home
  2. Directory
  3. California
  4. Crescent City
  5. Clinic Center
  6. NPI Profile

SRS-CRESCENT CITY, LLC
NPI 1376074559
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Crescent City, CA

Active since March 21, 2017
780 E WASHINGTON BLVD, BUILDING B, CRESCENT CITY, CA 95531(615) 467-0140 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2020, Mar 30, 2017, Mar 21, 2017 (3 updates tracked since 2017).

About Srs-crescent City, Llc NPPES

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

SRS-CRESCENT CITY, LLC (NPI 1376074559) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Crescent City, California and active in the NPI registry since March 2017. The organization lists Jerome Tannenbaum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376074559
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSRS-CRESCENT CITY, LLC
Location Address780 E WASHINGTON BLVD, BUILDING BCrescent City, CA 95531-8397
Mailing AddressPo Box 198813Nashville, TN 37219-8397
Phone(615) 467-0140
Organization SubpartNo
Authorized OfficialJerome TannenbaumCeo · (615) 467-0140
Enumeration DateMarch 21, 2017
Last NPPES UpdateNovember 23, 20203 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1376074559 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
780 E WASHINGTON BLVD, Crescent City, CA 95531
Open in Google Maps ↗

Other Providers at the Same Location NPPES 12

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

ROBIN LEE ZAGONE M.D.
Urology
780 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
SUSAN BRALLIER DO
Pediatrics
780 E WASHINGTON BLVD, STE 202
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
ELIE M HOBEIKA MD
Obstetrics & Gynecology
780 E WASHINGTON BLVD, STE 202
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
MARGO M PFUNDER CNM
Advanced Practice Midwife
780 E WASHINGTON BLVD, SUITE 202
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6175
SUTTER COAST HOSPITAL
Orthopaedic Surgery
780 E WASHINGTON BLVD, SUITE 105
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
JESYKA D. L. GARLICH PA-C
Physician Assistant
780 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
MR. JAI CHAND AUTAR M.D.
Pediatrics
780 E WASHINGTON BLVD, SUITE 202
CRESCENT CITY, CA 95531
Del Norte County (707) 464-6715
CODY LEE BACH FNP-BC
Nurse Practitioner (Family)
780 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (775) 322-4550

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 Srs-Crescent City, LLC's NPI number?

The NPI number for Srs-Crescent City, LLC is 1376074559. It was assigned to this organization in the NPPES registry on March 21, 2017.

Where is Srs-Crescent City, LLC located?

Srs-Crescent City, LLC is located at 780 E Washington Blvd Building B, Crescent City, CA 95531. The listed phone number is (615) 467-0140.

What is Srs-Crescent City, 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.

When was this NPI record last updated?

The NPPES record for Srs-Crescent City, LLC was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.