PERITONEAL DIALYSIS CENTER OF AMERICA, INC
NPI 1750495669
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Montebello, CA

Active since August 18, 2006CLIA Certified · 2 labs
3112 W BEVERLY BLVD, MONTEBELLO, CA 90640(323) 722-2053(323) 722-2063 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2025, Jan 20, 2021 (2 updates tracked since 2021).

About Peritoneal Dialysis Center Of America, Inc NPPES

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

PERITONEAL DIALYSIS CENTER OF AMERICA, INC (NPI 1750495669) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Montebello, California and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Pradip Cp Chowdhury, Vice President, as its authorized official.

NPPES Registry Identity

NPI1750495669
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePERITONEAL DIALYSIS CENTER OF AMERICA, INC
Location Address3112 W BEVERLY BLVDMontebello, CA 90640-2217
Mailing Address3112 W Beverly BlvdMontebello, CA 90640-2217 · (323) 722-2053 · Fax (323) 722-2063
Fax(323) 722-2063
Organization SubpartNo
Authorized OfficialPradip Cp ChowdhuryVice President · (323) 371-4182
Enumeration DateAugust 18, 2006
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1750495669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
Also ListedSpecialistTaxonomy 174400000X
3112 W BEVERLY BLVD, Montebello, CA 90640

Other Identifiers 1

OtherA79279CA · Kavitha Kanakaraj, Md

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 05D1086277

Peritoneal Dialysis Center Of America Inc · Montebello, CA
Active · expires Jul 8, 2028
CLIA Number05D1086277
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorDr. Carlos R. Gonzalez
Laboratory Phone(323) 722-2053
Laboratory LocationPeritoneal Dialysis Center Of America Inc3112 W Beverly Blvd, Montebello, CA 90640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1064816

Peritoneal Dialysis Ctr Of America-San Gabriel,pc · Monterey Park, CA
Active · expires Feb 13, 2027
CLIA Number05D1064816
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorPatricia M. Alvardo
Laboratory Phone(323) 722-2053
Laboratory LocationPeritoneal Dialysis Ctr Of America-San Gabriel,pc809 S Atlantic Blvd Ste 103, Monterey Park, CA 91754
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Peritoneal Dialysis Center Of America, Inc's NPI number?

The NPI number for Peritoneal Dialysis Center Of America, Inc is 1750495669. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Peritoneal Dialysis Center Of America, Inc located?

Peritoneal Dialysis Center Of America, Inc is located at 3112 W Beverly Blvd, Montebello, CA 90640. The listed phone number is (323) 722-2053.

What is Peritoneal Dialysis Center Of America, 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 Peritoneal Dialysis Center Of America, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Peritoneal Dialysis Center Of America, Inc was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.