Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Canyon Country Dialysis Center, LLC

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

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

National Provider Identifier

1932170008

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Registry record

Entity type Organization (Type 2)

Legal business name Canyon Country Dialysis Center, LLC

Practice address 18520 Via Princessa, Bldg C-1, Suite A, Canyon Country, CA, 91387

Phone (661) 298-5300

Fax (661) 424-9733

Enumeration date Jan 27, 2006

Last updated in NPPES Nov 29, 2016

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities · License 550000035 (CA) Primary

Authorized official

Name Jerry Green

Title Secretary

Phone (562) 421-2690

Other identifiers

Identifier	Type	State	Issuer
CDC52547F	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

Where is Canyon Country Dialysis Center, LLC located?

The practice location on file with NPPES is in Canyon Country, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-11-29. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-29.