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GARDENA DIALYSIS
NPI 1710477914
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Gardena, CA

Active since May 14, 2018CLIA 05D2163036 · Waiver
2/5
Overall Rating
1201 W 155TH ST, GARDENA, CA 90247(310) 538-6804(310) 538-6836 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 7, 2024, Jan 25, 2021, Oct 7, 2020 and 1 more (4 updates tracked since 2018).

About Gardena Dialysis NPPES

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

GARDENA DIALYSIS (NPI 1710477914) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Gardena, California and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1710477914
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSPRINGPOND DIALYSIS LLC
Location Address1201 W 155TH STGardena, CA 90247-4096
Mailing Address5200 Virginia Way L&c DeptBrentwood, TN 37027-7569
Phone(310) 538-6804
Fax(310) 538-6836
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMay 14, 2018
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1710477914 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
1201 W 155TH ST, Gardena, CA 90247
Open in Google Maps ↗

Other Names 1

Doing Business AsGardena Dialysis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, 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 05D2163036

Gardena Dialysis · Gardena, CA
Active · expires Mar 5, 2027
CLIA Number05D2163036
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorMarjan Chegounchi
Laboratory Phone(310) 538-6804
Laboratory LocationGardena Dialysis1201 W 155th Street, Gardena, CA 90247
CLIA data matches this NPI record on: Address Name Phone
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 Gardena Dialysis (CMS certification number 552897), from CMS Care Compare.

DaVita Gardena Dialysis

Dialysis facility · Gardena, CA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552897
ESRD NetworkNetwork 18
Hemodialysis Stations25
Medicare-Certified SinceFebruary 5, 2020
Location1201 W 155th StreetGardena, CA 90247 · Los Angeles County
Phone(310) 538-6804
Services Offered
In-center hemodialysis 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 Springpond Dialysis LLC's NPI number?

The NPI number for Springpond Dialysis LLC is 1710477914. It was assigned to this organization in the NPPES registry on May 14, 2018. The provider is doing business as Gardena Dialysis.

Where is Springpond Dialysis LLC located?

Springpond Dialysis LLC is located at 1201 W 155th St, Gardena, CA 90247. The listed phone number is (310) 538-6804.

What is Springpond Dialysis 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.

Does Springpond Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2163036) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Springpond Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Gardena Dialysis is a Medicare-certified dialysis facility, certified since February 5, 2020.

What quality rating does Springpond Dialysis LLC have?

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

What insurance does Springpond Dialysis LLC accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Springpond Dialysis LLC 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 Springpond Dialysis LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.