Srs-La Habra
NPI 1417633355 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · La Habra, CA
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Srs-La Habra is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in La Habra, CA (NPI 1417633355).
Provider details
- NPI number
- 1417633355
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerome Tannenbaum, Ceo(615) 467-0140
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Srs-La Habra, LLC
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Frequently asked questions
- What is Srs-La Habra's NPI number?
- Srs-La Habra's National Provider Identifier (NPI) is 1417633355, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Srs-La Habra?
- Srs-La Habra is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Srs-La Habra located?
- Srs-La Habra's practice location on file with NPPES is 1611 W Whittier Blvd, La Habra, CA 90631.
- What is Srs-La Habra's phone number?
- The practice phone number listed in the NPPES registry for Srs-La Habra is (615) 988-7881.
- Does Srs-La Habra accept Medicare?
- Srs-La Habra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Srs-La Habra?
- The authorized official listed on Srs-La Habra's NPPES record is Jerome Tannenbaum, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Srs-La Habra's NPI active?
- Yes — Srs-La Habra's NPI (1417633355) is active in the NPPES registry as of the last update on 2023-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.