GREATER LOS ANGELES DIALYSIS INC
NPI 1922181056
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in South El Monte, CA

Active since October 23, 2006
11204 RUSH ST, SOUTH EL MONTE, CA 91733(626) 571-4596(626) 571-1706 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greater Los Angeles Dialysis Inc NPPES

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

GREATER LOS ANGELES DIALYSIS INC (NPI 1922181056) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in South El Monte, California and active in the NPI registry since October 2006. The organization lists Marino B De Peralta, Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1922181056
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameGREATER LOS ANGELES DIALYSIS INC
Location Address11204 RUSH STSouth El Monte, CA 91733-3551
Mailing Address1840 S San Gabriel BlvdSan Gabriel, CA 91776-3930 · (626) 571-4596 · Fax (626) 571-1706
Fax(626) 571-1706
Organization SubpartNo
Authorized OfficialMarino B De PeraltaVice President/cfo · (626) 571-4596
Enumeration DateOctober 23, 2006
Last NPPES UpdateJune 30, 2009
NPI 1922181056 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
License Licensed in CA · 930000865
11204 RUSH ST, South El Monte, CA 91733

Other Identifiers 3

MedicaidCDC02755FCA
OtherZZZ52324ZCA · Blue Shield Insurance
Medicare OSCAR/certification052755CA

Other Providers at the Same Location NPPES

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
11204 RUSH ST
SOUTH EL MONTE, CA 91733

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 Greater Los Angeles Dialysis Inc's NPI number?

The NPI number for Greater Los Angeles Dialysis Inc is 1922181056. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Greater Los Angeles Dialysis Inc located?

Greater Los Angeles Dialysis Inc is located at 11204 Rush St, South El Monte, CA 91733. The listed phone number is (626) 571-4596.

What is Greater Los Angeles Dialysis 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.

When was this NPI record last updated?

The NPPES record for Greater Los Angeles Dialysis Inc was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.