PALMDALE REGIONAL DIALYSIS MEDICAL CENTER INC
NPI 1386740470
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Palmdale, CA

Active since September 15, 2006CLIA 05D0980623 · Waiver
1643 E PALMDALE BLVD, PALMDALE, CA 93550(661) 540-0925(661) 267-6464 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Palmdale Regional Dialysis Medical Center Inc NPPES

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

PALMDALE REGIONAL DIALYSIS MEDICAL CENTER INC (NPI 1386740470) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Palmdale, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 27, 2026 and lists Ghassan S Dahhan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386740470
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePALMDALE REGIONAL DIALYSIS MEDICAL CENTER INC
Location Address1643 E PALMDALE BLVDPalmdale, CA 93550-4847
Mailing Address1643 E Palmdale BlvdPalmdale, CA 93550-4847 · (661) 267-7645 · Fax (661) 267-6464
Fax(661) 267-6464
Organization SubpartNo
Authorized OfficialGhassan S DahhanAdministrator · (661) 267-7645
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJanuary 11, 2008
NPI 1386740470 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
1643 E PALMDALE BLVD, Palmdale, CA 93550

Other Identifiers 2

MedicaidCDC02869FCA
Medicare OSCAR/certification052869CA

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 05D0980623

Palmdale Regional · Palmdale, CA
Active · expires Nov 27, 2026
CLIA Number05D0980623
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorBassel A. Hadaya
Laboratory Phone(661) 540-0925
Laboratory LocationPalmdale Regional1643 E Palmdale Blvd, Palmdale, CA 93550
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Specialist
1643 E PALMDALE BLVD
PALMDALE, CA 93550

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 Palmdale Regional Dialysis Medical Center Inc's NPI number?

The NPI number for Palmdale Regional Dialysis Medical Center Inc is 1386740470. It was assigned to this organization in the NPPES registry on September 15, 2006.

Where is Palmdale Regional Dialysis Medical Center Inc located?

Palmdale Regional Dialysis Medical Center Inc is located at 1643 E Palmdale Blvd, Palmdale, CA 93550. The listed phone number is (661) 540-0925.

What is Palmdale Regional Dialysis Medical Center 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 Palmdale Regional Dialysis Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0980623) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palmdale Regional Dialysis Medical Center Inc was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.