NPI: 1871129379 · CHULA VISTA, CA 91914 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 03/16/2020
| Authorized Official | TANNENBAUM, JEROME (CEO) |
| NPI Enumeration Date | 03/16/2020 |
Other providers sharing the same authorized official: TANNENBAUM, JEROME
| Provider | City | State | Total Paid |
|---|---|---|---|
| SRS - TEHACHAPI LLC | TEHACHAPI | CA | $1.64M |
| SRS-NASHVILLE HH LLC | NASHVILLE | TN | $830K |
| SRS-RIDGECREST | RIDGECREST | CA | $156K |
| SRS-PROVO, LLC | PROVO | UT | $12K |
| NATIONAL TELE-NEPHROLOGY ASSOCIATES PC | NASHVILLE | TN | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 21 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J0887 | Injection, epoetin beta, 1 microgram, (for esrd on dialysis) | 21 | 12 | $3K |