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ESRD QIP - Dialysis Adequacy - Payment Year 2015

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkKt/V Adult Hemodialysis Performance Period RateKt/V Adult Hemodialysis Measure ScoreNational Avg Kt/V Adult Hemodialysis Measure ScoreKt/V Adult Peritoneal Dialysis Performance Period RateKt/V Adult Peritoneal Dialysis Measure ScoreNational Avg Kt/V Adult Peritoneal Dialysis Measure ScoreKt/V Pediatric Hemodialysis Performance Period RateKt/V Pediatric Hemodialysis Measure ScoreNational Avg Kt/V Pediatric Hemodialysis Measure ScoreKt/V Dialysis Adequacy Combined Measure ScoreNational Avg Kt/V Dialysis Adequacy Combined Measure Score
451DAVITA-DIALYSIS CENTER OF SIMI VALLEY0526382950 NORTH SYCAMORE DRIVE, SUITE 100SIMI VALLEYCA930651898%10796%107Insufficient dataN/A8107
452HUNTINGTON BEACH DIALYSIS05264116892 BOLSA CHICA AVENUE, SUITE 100HUNTINGTON BEACHCA926491886%17Insufficient dataN/A7Insufficient dataN/A817
453TOWER DIALYSIS0526438635 WEST THIRD STREET, SUITE 560-WLOS ANGELESCA900481891%5791%97Insufficient dataN/A867
454ALHAMBRA COMMUNITY DIALYSIS UNIT0526442300 WEST VALLEY BOULEVARDALHAMBRACA918031896%97Insufficient dataN/A7Insufficient dataN/A897
455SATELLITE DIALYSIS TURLOCK0526471729 NORTH OLIVE #9TURLOCKCA953821797%107Insufficient dataN/A7Insufficient dataN/A8107
456SAN JUAN CAPISTRANO SOUTH DIALYSIS05264831736 RANCHO VIEJO ROAD, SUITE BSAN JUAN CAPISTRANOCA926751897%107Insufficient dataN/A7Insufficient dataN/A8107
457DSI BERKELEY0526512895 7TH STREETBERKELEYCA947101777%07Insufficient dataN/A7Insufficient dataN/A807
458DAVITA-PARAMOUNT DIALYSIS CENTER0526528319 ALONDRA BOULEVARDPARAMOUNTCA907231897%107Insufficient dataN/A7Insufficient dataN/A8107
459FMC-CHULA VISTA DIALYSIS CENTER-SOUTH0526532252 VERUS STREET, SUITE DSAN DIEGOCA921541895%87Insufficient dataN/A7Insufficient dataN/A887
460GAREY DIALYSIS CENTER PARTNERSHIP052654150 EAST ARROW HIGHWAYPOMONACA917671892%57Insufficient dataN/A7Insufficient dataN/A857
461FMC-VENTURA0526564567 TELEPHONE ROAD, SUITE 101VENTURACA930031894%7795%107Insufficient dataN/A877
462RAI-CORPORATE WAY-PALM DESERT05265741-501 CORPORATE WAYPALM DESERTCA922601891%5725%07Insufficient dataN/A847
463KIDNEY INSTITUTE OF THE DESERT05265881715 DOCTOR CARREON BOULEVARD, SUITE B-2INDIOCA922011883%07Insufficient dataN/A7Insufficient dataN/A807
464DAVITA-CORONA DIALYSIS CENTER0526612057 COMPTON AVENUE, #101CORONACA928811894%77Insufficient dataN/A7Insufficient dataN/A877
465ANTELOPE DIALYSIS CENTER0526636406 TUPELO DRIVE STE-ACITRUS HEIGHTSCA956211797%107Insufficient dataN/A7Insufficient dataN/A8107
466SANTA MONICA DIALYSIS0526651260 15TH STREET, SUITE 102SANTA MONICACA904041895%87Insufficient dataN/A7Insufficient dataN/A887
467TULARE DIALYSIS052666545 EAST TULARE AVENUETULARECA932741897%107Insufficient dataN/A7Insufficient dataN/A8107
468FMC-CAMARILLO DIALYSIS CENTER0526683801 LAS POSAS ROAD, SUITE 103CAMARILLOCA930101895%87Insufficient dataN/A7Insufficient dataN/A887
469IMPERIAL DIALYSIS0526702738 WEST IMPERIAL HIGHWAYINGLEWOODCA903031897%10795%107Insufficient dataN/A8107
470DAVITA-UNITED DIALYSIS CENTER0526713111 LONG BEACH BOULEVARDLONG BEACHCA908071898%107Insufficient dataN/A7Insufficient dataN/A8107
471BAKERSFIELD DIALYSIS CENTER0526735143 OFFICE PARK DRIVEBAKERSFIELDCA933091896%9785%77Insufficient dataN/A897
472DELANO DIALYSIS052674405 DOVER PARKWAYDELANOCA932151898%107Insufficient dataN/A7Insufficient dataN/A8107
473EAST BAY PERITONEAL DIALYSIS05267513939 EAST 14TH STREET SUITE 110SAN LEANDROCA9457817792%97Insufficient dataN/A897
474DCI UNIVERSITY DIALYSIS CLINIC0526761771 STOCKTON BOULEVARDSACRAMENTOCA958161796%9792%97Insufficient dataN/A897
475SAN JOAQUIN VALLEY DIALYSIS0526773636 NORTH FIRST #144FRESNOCA937261792%5773%37Insufficient dataN/A857
476FMC-GATEWAY DIALYSIS CENTER-EAST052678720 GATEWAY CENTER DRIVE, SUITE BSAN DIEGOCA921021896%97Insufficient dataN/A7Insufficient dataN/A897
477PACIFIC SOUTH BAY DIALYSIS, LLC052679514 NORTH PROSPECT AVENUEREDONDO BEACHCA902771879%07Insufficient dataN/A7Insufficient dataN/A807
478FONTANA DIALYSIS05268217950 FOOTHILL BOULEVARDFONTANACA923351897%107Insufficient dataN/A7Insufficient dataN/A8107
479RAI-EAST OLYMPIC-LOS ANGELES0526835714 EAST OLYMPIC BOULEVARDLOS ANGELESCA900221897%107Insufficient dataN/A7Insufficient dataN/A8107
480PERITONEAL DIALYSIS CENTER OF AMERICA-SAN GABRIEL PC052684809 SOUTH ATLANTIC BOULEVARD, SUITE 103MONTEREY PARKCA91754187Insufficient dataN/A7Insufficient dataN/A87
481HAYWARD DIALYSIS CENTER05268521615 HESPERIAN BOULEVARD SUITE FHAYWARDCA945411794%77Insufficient dataN/A7Insufficient dataN/A877
482FMC-LA MESA DIALYSIS CENTER0526865995 SEVERIN DRIVELA MESACA919421891%57Insufficient dataN/A7Insufficient dataN/A857
483FMC-CARSON05268720710 SOUTH LEAPWOOD AVENUE, SUITE FCARSONCA907461888%27Insufficient dataN/A7Insufficient dataN/A827
484WALNUT CREEK DIALYSIS052689404 NORTH WIGET LANEWALNUT CREEKCA945981794%77Insufficient dataN/A7Insufficient dataN/A877
485FMC-EL CENTRO DESERT VALLEY DIALYSIS CENTER052690110 SOUTH FIFTH STREETEL CENTROCA922431895%87Insufficient dataN/A7Insufficient dataN/A887
486CAMERON PARK DIALYSIS0526913311 COACH LANE SUITE CCAMERON PARKCA956821792%57Insufficient dataN/A7Insufficient dataN/A857
487FMC LOS GATOS05269414651 SOUTH BASCOM SUITE 100LOS GATOSCA950321793%67Insufficient dataN/A7Insufficient dataN/A867
488DAVITA-LOS ANGELES DIALYSIS CENTER0526953901 SOUTH WESTERN AVENUELOS ANGELESCA900621896%9793%97Insufficient dataN/A897
489VISALIA DIALYSIS0526965429 WEST CYPRESS AVENUE, SUITE AVISALIACA932771897%10794%107Insufficient dataN/A8107
490HIGH DESERT HEMODIALYSIS0526991007 WEST AVENUE M-14, SUITE BPALMDALECA93551182%07Insufficient dataN/A7Insufficient dataN/A807
491DAVITA-MONTEREY PARK DIALYSIS CENTER0527002560 CORPORATE PLACE, BUILDING D, SUITE 100-101MONTEREY PARKCA917541896%97Insufficient dataN/A7Insufficient dataN/A897
492PACIFIC SOUTH BAY DIALYSIS, LLC05270120911 EARL STREET, SUITE 160TORRANCECA905031885%07Insufficient dataN/A7Insufficient dataN/A807
493RAI WEST MARCH0527033115 WEST MARCH LANE SUITE ASTOCKTONCA952191799%107Insufficient dataN/A7Insufficient dataN/A8107
494RAI NORTH CALIFORNIA0527052350 NORTH CALIFORNIA STREETSTOCKTONCA952041790%47Insufficient dataN/A7Insufficient dataN/A847
495ATWATER DIALYSIS CENTER0527061201 COMMERCE AVENUEATWATERCA953011796%97Insufficient dataN/A7Insufficient dataN/A897
496ALHAMBRA DIALYSIS CENTER0527071315 ALHAMBRA BOULEVARD #100SACRAMENTOCA958161798%107Insufficient dataN/A7Insufficient dataN/A8107
497FMC-NORTH COAST KIDNEY CENTER0527083300 VISTA WAY, SUITE AOCEANSIDECA920561895%87Insufficient dataN/A7Insufficient dataN/A887
498VACAVILLE DIALYSIS CLINIC052709941 MERCHANT STREETVACAVILLECA956881795%87Insufficient dataN/A7Insufficient dataN/A887
499LA PUENTE DIALYSIS CENTER, INC.05271014557 TEMPLE AVENUELA PUENTECA917441896%97Insufficient dataN/A7Insufficient dataN/A897
500SOUTHGATE DIALYSIS0527117231 EAST SOUTHGATE DRIVESACRAMENTOCA958231795%87Insufficient dataN/A7Insufficient dataN/A887

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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Description

ESRD QIP data by facility: % of hemodialysis patient-months with spKt/V >= 1.2; % of peritoneal patient-months with Kt/V >= 1.7 Kt/V (dialytic + residual) during the four-month study period; % of pediatric in-center hemodialysis patient-months with spKt/V >= 1.2

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