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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
501INTERCOMMUNITY DIALYSIS CENTER05271212455 WASHINGTON BOULEVARDWHITTIERCA906021898%107Insufficient dataN/A7Insufficient dataN/A8107
502UNIVERSITY PARK DIALYSIS CENTER0527133986 SOUTH FIGUEROA STREETLOS ANGELESCA900371898%107Insufficient dataN/A7Insufficient dataN/A8107
503DESERT CITIES DIALYSIS05271412675 HESPERIA ROADVICTORVILLECA923921891%5731%07Insufficient dataN/A857
504PACIFIC SOUTH BAY DIALYSIS, INC.0527151830 LOMITA BOULEVARDLOMITACA907171877%07Insufficient dataN/A7Insufficient dataN/A807
505DAVITA-SANTA ANA DIALYSIS CENTER0527161820 EAST DEERE AVENUESANTA ANACA927051897%107Insufficient dataN/A7Insufficient dataN/A8107
506DAVITA-GREATER EL MONTE DIALYSIS CENTER0527171938 TYLER AVENUE, SUITE J-168SOUTH EL MONTECA917331897%107Insufficient dataN/A7Insufficient dataN/A8107
507DAVITA-NORWALK DIALYSIS CENTER05271812375 EAST IMPERIAL HIGHWAYNORWALKCA906501897%107Insufficient dataN/A7Insufficient dataN/A8107
508SAN FRANCISCO DIALYSIS CENTER0527191499 WEBSTER STREETSAN FRANCISCOCA941151795%87Insufficient dataN/A7Insufficient dataN/A887
509CITRUS DIALYSIS CENTER052720315 NORTH THIRD AVENUE, SUITE 104COVINACA917231881%37Insufficient dataN/A7Insufficient dataN/A837
510RAI PERALTA0527212757 TELEGRAPH AVENUEOAKLANDCA946121795%87Insufficient dataN/A7Insufficient dataN/A887
511FMC FREMONT05272239505 PASEO PADRE PARKWAYFREMONTCA945381792%57Insufficient dataN/A7Insufficient dataN/A857
512MANTECA DIALYSIS CENTER0527231156 SOUTH MAIN STREETMANTECACA953361793%67Insufficient dataN/A7Insufficient dataN/A867
513SFS DIALYSIS05272410012 NORWALK BOULEVARD, SUITE 190SANTA FE SPRINGSCA9067018100%107Insufficient dataN/A7Insufficient dataN/A8107
514DOCTORS DIALYSIS CENTER OF EAST LOS ANGELES052725950 SOUTH EASTERN AVENUEEAST LOS ANGELESCA900221896%97Insufficient dataN/A7Insufficient dataN/A897
515MOHAN DIALYSIS CENTER OF COVINA052726158 WEST COLLEGE STREETCOVINACA917231896%97Insufficient dataN/A7Insufficient dataN/A897
516RAI-INDIANA COURT-REDLANDS0527271210 INDIANA COURTREDLANDSCA923741896%97Insufficient dataN/A7Insufficient dataN/A897
517RAI OCEAN AVENUE0527281738 OCEAN AVENUESAN FRANCISCOCA941121795%87Insufficient dataN/A7Insufficient dataN/A887
518OAKLAND DIALYSIS CENTER0527295354 CLAREMONT AVENUEOAKLANDCA946181796%97Insufficient dataN/A7Insufficient dataN/A897
519DAVITA-MURRIETA05273027602 CLINTON KEITH ROAD, BUILDING FMURRIETACA925621893%67Insufficient dataN/A7Insufficient dataN/A867
520FMC-BALBOA-MARINA BAY052731630 BAY BOULEVARD, SUITE 101CHULA VISTACA919101894%77Insufficient dataN/A7Insufficient dataN/A877
521ANAHEIM DIALYSIS0527341107 WEST LA PALMA AVENUEANAHEIMCA928011893%67Insufficient dataN/A7Insufficient dataN/A867
522DAVITA-TEMECULA DIALYSIS CENTER05273540945 COUNTY CENTER DRIVE, SUITE GTEMECULACA925911897%107Insufficient dataN/A7Insufficient dataN/A8107
523LOS BANOS DIALYSIS CENTER05273860 G STREET, BUILDING DLOS BANOSCA936351793%67Insufficient dataN/A7Insufficient dataN/A867
524CHINO DIALYSIS0527394445 RIVERSIDE DRIVECHINOCA917101897%107Insufficient dataN/A7Insufficient dataN/A8107
525RAI-FLETCHER PARKWAY-EL CAJON052740858 FLETCHER PARKWAYEL CAJONCA920201897%107Insufficient dataN/A7Insufficient dataN/A8107
526RAI E. 14TH052742198 EAST 14TH STREETSAN LEANDROCA945771788%27Insufficient dataN/A7Insufficient dataN/A827
527DAVITA-MOUNTAIN VISTA DIALYSIS CENTER0527434041 UNIVERSITY PARKWAYSAN BERNARDINOCA924071898%107100%107Insufficient dataN/A8107
528SOUTH VALLEY DIALYSIS05274417815 VENTURA BOULEVARD, SUITE 100ENCINOCA913161897%107Insufficient dataN/A7Insufficient dataN/A8107
529DAVITA-SUNRISE DIALYSIS CENTER05274611300 HAWTHORNE BOULEVARDINGLEWOODCA903041897%107Insufficient dataN/A7Insufficient dataN/A8107
530WEST COAST DIALYSIS CENTER, LLC0527473780 KILROY AIRPORT WAY, SUITE 110LONG BEACHCA908061881%0792%97Insufficient dataN/A817
531SATELLITE DIALYSIS0527517800 ARROYO CIRCLE #BGILROYCA950201795%8787%77Insufficient dataN/A887
532RAI CERES AVENUE, CHICO0527523011 CERES AVENUE #125CHICOCA959731794%77Insufficient dataN/A7Insufficient dataN/A877
533LODI DIALYSIS CENTER0527531610 WEST KETTLEMAN LANE, SUITE DLODICA952421795%87Insufficient dataN/A7Insufficient dataN/A887
534GREATER LOS ANGELES DIALYSIS, INC.05275511204 EAST RUSH STREETSOUTH EL MONTECA917331898%107Insufficient dataN/A7Insufficient dataN/A8107
535ENCINITAS DIALYSIS052756332 SANTA FE DRIVE, SUITE 100ENCINITASCA920241894%77Insufficient dataN/A7Insufficient dataN/A877
536FMC DIABLO CENTRAL PITTSBURG0527572155 LOVERIDGE ROADPITTSBURGCA945651796%97Insufficient dataN/A7Insufficient dataN/A897
537FMC DIABLO WALNUT CREEK052758365 LENNON LANE #160WALNUT CREEKCA945981788%2789%87Insufficient dataN/A847
538FMC DIABLO CONCORD052759508 CONTRA COSTA BOULEVARD #DPLEASANT HILLCA945231797%107Insufficient dataN/A7Insufficient dataN/A8107
539FMC-SAN GABRIEL DIALYSIS CENTER0527601801 WEST VALLEY BOULEVARD, SUITE 102ALHAMBRACA918031892%57Insufficient dataN/A7Insufficient dataN/A857
540DAVITA-PREMIER DIALYSIS CENTER0527617612 ATLANTIC AVENUECUDAHYCA902011898%10799%107Insufficient dataN/A8107
541FMC-OXNARD0527621801 HOLSER WALK, SUITE 310OXNARDCA930301898%107Insufficient dataN/A7Insufficient dataN/A8107
542FMC-SAN GABRIEL VALLEY PD CLINIC0527641801 WEST VALLEY BOULEVARD, SUITE 204ALHAMBRACA91803187Insufficient dataN/A7Insufficient dataN/A87
543RAI FAIRWAY ROCKLIN0527656000 FAIRWAY DRIVE SUITE #14ROCKLINCA956771791%57Insufficient dataN/A7Insufficient dataN/A857
544ASH TREE PD0527672666 NORTH GROVE INDUSTRIAL DRIVEFRESNOCA93727177Insufficient dataN/A7Insufficient dataN/A87
545DAVITA-DIAMOND VALLEY DIALYSIS CENTER0527681030 EAST FLORIDA AVENUEHEMETCA925431895%87Insufficient dataN/A7Insufficient dataN/A887
546SF CHINATOWN DIALYSIS CENTER052769636 CLAY STREETSAN FRANCISCOCA941111799%107Insufficient dataN/A7Insufficient dataN/A8107
547SELMA DIALYSIS CENTER0527702711 CINEMA WAY #111SELMACA936621798%107Insufficient dataN/A7Insufficient dataN/A8107
548DAVITA-VISALIA AT HOME DIALYSIS0527711120 NORTH CHINOWTH STREETVISALIACA9329118795%107Insufficient dataN/A8107
549RAI-HOSPITAL CIRCLE-WESTMINSTER052772290 HOSPITAL CIRCLEWESTMINSTERCA926831896%97Insufficient dataN/A7Insufficient dataN/A897
550WESTMINSTER SOUTH DIALYSIS05277314014 MAGNOLIA STREETWESTMINSTERCA926831898%107Insufficient dataN/A7Insufficient dataN/A8107

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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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