NORTHRIDGE KIDNEY CARE CENTER LLC
NPI 1861901191
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Northridge, CA

Active since September 29, 2017CLIA 05D2145219 · Waiver
19333 BUSINESS CENTER DR, NORTHRIDGE, CA 91324(818) 709-9999 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northridge Kidney Care Center Llc NPPES

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

NORTHRIDGE KIDNEY CARE CENTER LLC (NPI 1861901191) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Northridge, California and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Vinod M Assomull, Chairman, as its authorized official.

NPPES Registry Identity

NPI1861901191
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNORTHRIDGE KIDNEY CARE CENTER LLC
Location Address19333 BUSINESS CENTER DRNorthridge, CA 91324-3528
Mailing Address4000 Cover St Ste 100Long Beach, CA 90808-1790 · (562) 421-2690 · Fax (562) 421-2060
Organization SubpartNo
Authorized OfficialVinod M AssomullChairman · (818) 366-4626
Enumeration DateSeptember 29, 2017
Last NPPES UpdateOctober 13, 2017
NPI 1861901191 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
19333 BUSINESS CENTER DR, Northridge, CA 91324

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 05D2145219

Northridge Kidney Care Center, LLC · Northridge, CA
Active · expires Mar 2, 2028
CLIA Number05D2145219
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorVinod Assomull, MD
Laboratory Phone(818) 709-9999
Laboratory LocationNorthridge Kidney Care Center, LLC19333 Business Center Dr, Northridge, CA 91324
CLIA data matches this NPI record on: Address Name 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 Northridge Kidney Care Center LLC's NPI number?

The NPI number for Northridge Kidney Care Center LLC is 1861901191. It was assigned to this organization in the NPPES registry on September 29, 2017.

Where is Northridge Kidney Care Center LLC located?

Northridge Kidney Care Center LLC is located at 19333 Business Center Dr, Northridge, CA 91324. The listed phone number is (818) 709-9999.

What is Northridge Kidney Care 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 Northridge Kidney Care Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2145219) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northridge Kidney Care Center LLC was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.