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San Gabriel Regional Dialysis Training Center, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Monterey Park, CA · enumerated 2006 · authorized official Jerry Green, Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700858099

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Registry record

Entity type Organization (Type 2)
Legal business name San Gabriel Regional Dialysis Training Center, LLC
Practice address 809 S Atlantic Blvd, 103, Monterey Park, CA, 91754
Phone (626) 576-8556
Fax (626) 576-8557
Enumeration date Feb 2, 2006
Last updated in NPPES May 29, 2008

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jerry Green
Title Secretary
Phone (562) 495-8075

Other identifiers

Identifier Type State Issuer
CDC02684G Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for San Gabriel Regional Dialysis Training Center, LLC?
NPPES lists Jerry Green (Secretary) as the authorized official for this organization.
What is the NPI number for San Gabriel Regional Dialysis Training Center, LLC?
The NPI for San Gabriel Regional Dialysis Training Center, LLC is 1700858099, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-29.