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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
401SOUTH SACRAMENTO DIALYSIS CENTER0525697000 FRANKLIN BOULEVARD #880SACRAMENTOCA958231799%107Insufficient dataN/A7Insufficient dataN/A8107
402UNION CITY DIALYSIS CENTER05257132930 ALVARADO-NILES ROAD #300UNION CITYCA945871795%87Insufficient dataN/A7Insufficient dataN/A887
403SATELLITE DIALYSIS SAN JOSE0525722121 ALEXIAN DRIVESAN JOSECA951161796%97Insufficient dataN/A7Insufficient dataN/A897
404DAVITA-DOWNEY DIALYSIS CENTER0525748630 FLORENCE AVENUE, SUITE 100DOWNEYCA902401897%107Insufficient dataN/A7Insufficient dataN/A8107
405RAI-NORTH WATERMAN-SAN BERNARDINO0525751500 NORTH WATERMAN AVENUESAN BERNARDINOCA924041886%17Insufficient dataN/A7Insufficient dataN/A817
406FMC-BALBOA-KEARNY MESA DIALYSIS CENTER0525767927 OSTROW STREET, SUITE ASAN DIEGOCA921111894%7789%87Insufficient dataN/A877
407RAI HARDING BLVD052578218 HARDING BOULEVARDROSEVILLECA956781797%107Insufficient dataN/A7Insufficient dataN/A8107
408FMC-CONEJO VALLEY RENAL CENTER052579227 WEST JANSS ROAD, SUITE 115THOUSAND OAKSCA913601895%87Insufficient dataN/A7Insufficient dataN/A887
409DAVITA-COVINA DIALYSIS CENTER0525801547 WEST GARVEY AVENUE NORTHWEST COVINACA917901895%87Insufficient dataN/A7Insufficient dataN/A887
410PACIFIC SOUTH BAY DIALYSIS, LLC0525811045 WEST REDONDO BEACH BOULEVARD, SUITE 105GARDENACA902471877%07Insufficient dataN/A7Insufficient dataN/A807
411ST. VINCENT DIALYSIS CENTER, INC.052582201 SOUTH ALVARADO STREET, SUITE 220LOS ANGELESCA900571895%87Insufficient dataN/A7Insufficient dataN/A887
412MONTEREY PENINSULA DIALYSIS0525832066 NORTH FREMONT BOULEVARDMONTEREYCA939401795%87Insufficient dataN/A7Insufficient dataN/A887
413NORTH MERCED DIALYSIS CENTER0525843393 G STREET, SUITE AMERCEDCA953401796%97Insufficient dataN/A7Insufficient dataN/A897
414INNOVATIVE DIALYSIS CENTER OF VAN NUYS05258514624 SHERMAN WAY, SUITE 106VAN NUYSCA914051885%07Insufficient dataN/A7Insufficient dataN/A807
415BERKELEY DIALYSIS CENTER0525872655 SHATTUCK AVENUEBERKELEYCA947041792%57Insufficient dataN/A7Insufficient dataN/A857
416SAN FERNANDO WEST KIDNEY CENTER0525887230 MEDICAL CENTER DRIVE, SUITE 101WEST HILLSCA913071899%107Insufficient dataN/A7Insufficient dataN/A8107
417UCI RENAL DIALYSIS CENTER052589101 CITY DRIVE, BUILDING 51ORANGECA928681896%9755%07Insufficient dataN/A887
418RAI-COMPTON-LOS ANGELES05259011859 COMPTON AVENUELOS ANGELESCA900591896%97Insufficient dataN/A7Insufficient dataN/A897
419POMONA DIALYSIS0525912111 NORTH GAREY AVENUEPOMONACA917671896%9788%87Insufficient dataN/A897
420MISSION VIEJO DIALYSIS05259727640 MARGUERITE PARKWAYMISSION VIEJOCA926921897%10787%77Insufficient dataN/A897
421DAVITA-BEVERLY HILLS DIALYSIS CENTER05259950 NORTH LA CIENEGA BOULEVARD, SUITE 300BEVERLY HILLSCA902111895%87Insufficient dataN/A7Insufficient dataN/A887
422SATELLITE DIALYSIS SAN JOSE052600393 BLOSSOM HILL ROAD SUITE 110SAN JOSECA951231796%97Insufficient dataN/A7Insufficient dataN/A897
423LAKEPORT DIALYSIS CENTER052601804 ELEVENTH STREETLAKEPORTCA954531798%107Insufficient dataN/A7Insufficient dataN/A8107
424SALINAS DIALYSIS CENTER052602955 BLANCO CIRCLE, SUITE #CSALINASCA939011797%10786%77Insufficient dataN/A8107
425MANZANITA DIALYSIS CENTER0526044005 MANZANITA AVENUE SUITE 17 & 18CARMICHAELCA956081795%8792%97Insufficient dataN/A887
426SANTA BARBARA ARTIFICIAL KIDNEY CENTER, LLC0526061704 STATE STREETSANTA BARBARACA931011891%5778%77Insufficient dataN/A857
427FRESNO DIALYSIS CENTER0526084753 WEST SHAW AVENUE, SUITE 101FRESNOCA937221795%87Insufficient dataN/A7Insufficient dataN/A887
428SATELLITE DIALYSIS SONORA052609136 EAST COLUMBIA WAYSONORACA953701797%107Insufficient dataN/A7Insufficient dataN/A8107
429RAI PIEDMONT0526102710 TELEGRAPH AVENUE SUITE #100OAKLANDCA946121793%67Insufficient dataN/A7Insufficient dataN/A867
430BMA OF CENTRAL VALLEY RURAL DIALYSIS0526121421 NORTH ACACIAREEDLEYCA936541793%67Insufficient dataN/A7Insufficient dataN/A867
431DAVITA-EATON CANYON DIALYSIS0526132551 EAST WASHINGTON BOULEVARDPASADENACA911071898%107Insufficient dataN/A7Insufficient dataN/A8107
432AUBURN DIALYSIS CENTER0526143126 PROFESSIONAL DRIVE #100AUBURNCA956031792%57Insufficient dataN/A7Insufficient dataN/A857
433NAPA DIALYSIS CENTER0526153900-C BEL AIRE PLAZA #CNAPACA945581795%87Insufficient dataN/A7Insufficient dataN/A887
434RAI-GARDEN GROVE BLVD.-GARDEN05261712555 GARDEN GROVE BOULEVARD, SUITE 100GARDEN GROVECA928431893%67Insufficient dataN/A7Insufficient dataN/A867
435FAIRFIELD DIALYSIS CENTER0526184660 CENTRAL WAYFAIRFIELDCA945341796%9790%87Insufficient dataN/A897
436HUNTINGTON DIALYSIS CENTER052619806 SOUTH FAIR OAKS AVENUEPASADENACA911051887%17Insufficient dataN/A7Insufficient dataN/A817
437DAVITA-HEMET0526203050 WEST FLORIDA AVENUEHEMETCA925451898%107Insufficient dataN/A7Insufficient dataN/A8107
438DAVITA-BREA DIALYSIS CENTER052621595 TAMARACK AVENUE, SUITES A & BBREACA928211899%107Insufficient dataN/A7Insufficient dataN/A8107
439DAVITA-EAST LA PLAZA DIALYSIS0526221700 CESAR EAST CHAVEZ AVENUE, SUITE L-100LOS ANGELESCA900331894%7795%107Insufficient dataN/A877
440FMC PETALUMA052624715 SOUTH POINT BOULEVARD, SUITE APETALUMACA949541793%67Insufficient dataN/A7Insufficient dataN/A867
441DAVITA-LA PALMA DIALYSIS0526275451 LA PALMA AVENUE, SUITE 35LA PALMACA906231893%67Insufficient dataN/A7Insufficient dataN/A867
442HANFORD DIALYSIS052628402 WEST EIGHTH STREETHANFORDCA932301898%107Insufficient dataN/A7Insufficient dataN/A8107
443SATELLITE DIALYSIS05262940 PENNY LANE SUITE 1WATSONVILLECA950761794%7771%37Insufficient dataN/A867
444SATELLITE DIALYSIS SANTA ROSA0526302301 CIRCADIAN WAY #CSANTA ROSACA954071792%57Insufficient dataN/A7Insufficient dataN/A857
445WILSHIRE DIALYSIS CENTER0526311212 WILSHIRE BOULEVARDLOS ANGELESCA900171898%10795%107Insufficient dataN/A8107
446GLENDALE DIALYSIS0526321000 EAST PALMER AVENUEGLENDALECA912051896%97Insufficient dataN/A7Insufficient dataN/A897
447FMC-MISSION HILLS05263311550 INDIAN HILLS ROAD, SUITE 100MISSION HILLSCA913451896%9781%67Insufficient dataN/A897
448RAI-CENTINELA-INGLEWOOD0526341416 CENTINELA AVENUEINGLEWOODCA903021892%57Insufficient dataN/A7Insufficient dataN/A857
449BRIMHALL DIALYSIS0526358501 BRIMHALL ROAD, BUILDING 500BAKERSFIELDCA933121897%107Insufficient dataN/A7Insufficient dataN/A8107
450DAVITA-BURBANK DIALYSIS0526371211 NORTH SAN FERNANDO BOULEVARDBURBANKCA915041897%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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