OrganizationActive
Fountain Valley Regional Dialysis Center LLC
NPI 1265633747 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fountain Valley, CA
Provider details
- NPI number
- 1265633747
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gadsalli Ravikumar, President/Ceo(714) 226-0818
- License
- 550001163 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17150 Euclid Avenue
Suite 111
Fountain Valley, CA 92708-4092
Phone: (714) 966-1595
Fax: (714) 966-1555
Street-level locationGet directions
Mailing address
3356 W Ball Rd
Anaheim, CA 92804-3702
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2012-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.