MONTEBELLO ARTIFICIAL KIDNEY CENTER, LLC
NPI 1790960060
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Montebello, CA

Active since January 07, 2008CLIA 05D1088405 · Waiver
3404 W BEVERLY BLVD, MONTEBELLO, CA 90640(323) 728-7580(323) 728-7590 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Montebello Artificial Kidney Center, Llc NPPES

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

MONTEBELLO ARTIFICIAL KIDNEY CENTER, LLC (NPI 1790960060) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Montebello, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Vijay Dhawan, Director, as its authorized official.

NPPES Registry Identity

NPI1790960060
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMONTEBELLO ARTIFICIAL KIDNEY CENTER, LLC
Location Address3404 W BEVERLY BLVDMontebello, CA 90640-1539
Mailing Address3404 W Beverly BlvdMontebello, CA 90640-1539 · (323) 728-7580 · Fax (323) 728-7590
Fax(323) 728-7590
Organization SubpartNo
Authorized OfficialVijay DhawanDirector · (323) 721-9411
Enumeration DateJanuary 7, 2008
Last NPPES UpdateApril 28, 2010
NPI 1790960060 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
3404 W BEVERLY BLVD, Montebello, CA 90640

Other Identifiers 1

Medicare OSCAR/certification552640CA

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 05D1088405

Montebello Artificial Kidney Center · Montebello, CA
Active · expires Aug 24, 2026
CLIA Number05D1088405
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorEdgar P. Toscano
Laboratory Phone(323) 728-7580
Laboratory LocationMontebello Artificial Kidney Center3404 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.

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.

Internal Medicine (Nephrology)
3404 W BEVERLY BLVD
MONTEBELLO, CA 90640
Internal Medicine (Adolescent Medicine)
3404 W BEVERLY BLVD
MONTEBELLO, CA 90640

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 Montebello Artificial Kidney Center, LLC's NPI number?

The NPI number for Montebello Artificial Kidney Center, LLC is 1790960060. It was assigned to this organization in the NPPES registry on January 7, 2008.

Where is Montebello Artificial Kidney Center, LLC located?

Montebello Artificial Kidney Center, LLC is located at 3404 W Beverly Blvd, Montebello, CA 90640. The listed phone number is (323) 728-7580.

What is Montebello Artificial Kidney 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.

Does Montebello Artificial Kidney Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1088405) is associated with this NPI, valid through August 24, 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 Montebello Artificial Kidney Center, LLC was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.