Ontario Dialysis

LBN: Ontario Dialysis Center Llc
Ontario Dialysis is an health care organization with primary practice located at 1950 S Grove Ave Ste 101, Ontario CA 91761-5693. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Ontario Dialysis Center Llc can be contacted via phone (909) 930-5566, or through Usilton, Thomas O via phone (770) 541-7922.

Contact Information

Primary practice address
1950 S Grove Ave Ste 101 Ontario CA 91761-5693
Phone: (909) 930-5566
Fax: (909) 930-5690
Website:
Map and Directions
Authorized official contact:
Name: Usilton, Thomas O
Phone: (770) 541-7922

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 550000080 California

Profile Details

NPI number 1184687345
LBN Legal business name Ontario Dialysis Center Llc
DBA Doing business as Ontario Dialysis
Authorized official Usilton, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Sep 24th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184687345 NPPES
California MEDICAID CDC52548F

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