AT HOME DIALYSIS, LLC
NPI 1790401677
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fullerton, CA

Active since October 12, 2022CLIA 05D2291721 · Waiver
340 E COMMONWEALTH AVE, FULLERTON, CA 92832(657) 500-8147 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2023, Dec 21, 2022, Oct 12, 2022 (3 updates tracked since 2022).

About At Home Dialysis, Llc NPPES

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

AT HOME DIALYSIS, LLC (NPI 1790401677) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fullerton, California and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Gunda Jahromi, Partner, as its authorized official.

NPPES Registry Identity

NPI1790401677
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameAT HOME DIALYSIS, LLC
Location Address340 E COMMONWEALTH AVEFullerton, CA 92832-2017
Mailing Address340 E Commonwealth AveFullerton, CA 92832-2017 · (657) 500-8147 · Fax (866) 735-9057
Organization SubpartNo
Authorized OfficialGunda JahromiPartner · (657) 500-8147
Enumeration DateOctober 12, 2022
Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1790401677 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
340 E COMMONWEALTH AVE, Fullerton, CA 92832

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 05D2291721

At Home Dialysis LLC · Fullerton, CA
Active · expires Oct 15, 2027
CLIA Number05D2291721
Laboratory TypeHome Hemo Dialyis
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorPradip Chowdhury
Laboratory Phone(657) 500-8147
Laboratory LocationAt Home Dialysis LLC340 E Commonwealth Ave, Fullerton, CA 92832
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 4

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

Acupuncturist
340 E COMMONWEALTH AVE
FULLERTON, CA 92832
Acupuncturist
340 E COMMONWEALTH AVE
FULLERTON, CA 92832
Acupuncturist
340 E COMMONWEALTH AVE
FULLERTON, CA 92832
Family Medicine
340 E COMMONWEALTH AVE
FULLERTON, CA 92832

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 At Home Dialysis, LLC's NPI number?

The NPI number for At Home Dialysis, LLC is 1790401677. It was assigned to this organization in the NPPES registry on October 12, 2022.

Where is At Home Dialysis, LLC located?

At Home Dialysis, LLC is located at 340 E Commonwealth Ave, Fullerton, CA 92832. The listed phone number is (657) 500-8147.

What is At Home 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 At Home Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2291721) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for At Home Dialysis, LLC was last updated on March 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.