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SAN GABRIEL REGIONAL DIALYSIS TRAINING CENTER, LLC
NPI 1700858099
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Monterey Park, CA

Active since February 02, 2006
809 S ATLANTIC BLVD, 103, MONTEREY PARK, CA 91754(626) 576-8556(626) 576-8557 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Gabriel Regional Dialysis Training Center, Llc NPPES

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

SAN GABRIEL REGIONAL DIALYSIS TRAINING CENTER, LLC (NPI 1700858099) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Monterey Park, California and active in the NPI registry since February 2006. The organization lists Jerry Green, Secretary, as its authorized official.

NPPES Registry Identity

NPI1700858099
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSAN GABRIEL REGIONAL DIALYSIS TRAINING CENTER, LLC
Location Address809 S ATLANTIC BLVD, 103Monterey Park, CA 91754-4756
Mailing Address1 World Trade Ctr, 2500Long Beach, CA 90831-0002 · (562) 495-8075 · Fax (562) 495-8076
Phone(626) 576-8556
Fax(626) 576-8557
Organization SubpartNo
Authorized OfficialJerry GreenSecretary · (562) 495-8075
Enumeration DateFebruary 2, 2006
Last NPPES UpdateMay 29, 2008
✔ NPI 1700858099 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
809 S ATLANTIC BLVD, Monterey Park, CA 91754
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Other Identifiers 2

Medicare ID-Type Unspecified52684CA
MedicaidCDC02684GCA

Other Providers at the Same Location NPPES 2

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

PERITONEAL DIALYSIS CENTER OF AMERICA - SAN GABRIEL, PC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
809 S ATLANTIC BLVD, SUITE 103
MONTEREY PARK, CA 91754
Los Angeles County (626) 576-8556
MR. JERRY TZOU D.D.S.
Dentist (General Practice)
809 S ATLANTIC BLVD, #308
MONTEREY PARK, CA 91754
Los Angeles County (626) 282-5577

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 San Gabriel Regional Dialysis Training Center, LLC's NPI number?

The NPI number for San Gabriel Regional Dialysis Training Center, LLC is 1700858099. It was assigned to this organization in the NPPES registry on February 2, 2006.

Where is San Gabriel Regional Dialysis Training Center, LLC located?

San Gabriel Regional Dialysis Training Center, LLC is located at 809 S Atlantic Blvd 103, Monterey Park, CA 91754. The listed phone number is (626) 576-8556.

What is San Gabriel Regional Dialysis Training Center, 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 San Gabriel Regional Dialysis Training Center, LLC was last updated on May 29, 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.