Canyon Country Dialysis Center, LLC
NPI 1932170008 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Canyon Country, CA
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Country Dialysis Center, LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Canyon Country, CA (NPI 1932170008).
Provider details
- NPI number
- 1932170008
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Green, Secretary(562) 421-2690
- License
- 550000035 (CA)
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
20 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
Registry dates
- Enumerated
- 2006-01-27
- Last updated
- 2016-11-29
Frequently asked questions
- What is Canyon Country Dialysis Center, LLC's NPI number?
- Canyon Country Dialysis Center, LLC's National Provider Identifier (NPI) is 1932170008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Country Dialysis Center, LLC?
- Canyon Country Dialysis Center, LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Canyon Country Dialysis Center, LLC located?
- Canyon Country Dialysis Center, LLC's practice location on file with NPPES is 18520 Via Princessa, Canyon Country, CA 91387-8326.
- What is Canyon Country Dialysis Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Canyon Country Dialysis Center, LLC is (661) 298-5300.
- Does Canyon Country Dialysis Center, LLC accept Medicare?
- Canyon Country Dialysis Center, LLC 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 Canyon Country Dialysis Center, LLC?
- The authorized official listed on Canyon Country Dialysis Center, LLC's NPPES record is Jerry Green, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Country Dialysis Center, LLC's NPI active?
- Yes — Canyon Country Dialysis Center, LLC's NPI (1932170008) is active in the NPPES registry as of the last update on 2016-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.