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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
5701FMC-BAKERSFIELD5525628625 LIBERTY PARK DRIVE, SUITE 102BAKERSFIELDCA933111892%57Insufficient dataN/A7Insufficient dataN/A857
5702ASH TREE DIALYSIS5525632666 NORTH GROVE INDUSTRIAL DRIVE SUITE 106FRESNOCA937271797%10794%107Insufficient dataN/A8107
5703ALMOND-WOOD DIALYSIS552564501 EAST ALMOND AVENUEMADERACA936371796%97Insufficient dataN/A7Insufficient dataN/A897
5704SAN BERNARDINO VALLEY HOME DIALYSIS CENTER5525651500 NORTH WATERMAN AVENUE, SUITE BSAN BERNARDINOCA9240418777%57Insufficient dataN/A857
5705FORT BRAGG DIALYSIS DCI552566512 CYPRESS STREETFORT BRAGGCA954371787%47Insufficient dataN/A7Insufficient dataN/A847
5706TEMPLETON DIALYSIS5525671310 LAS TABLAS ROAD, SUITE 101TEMPLETONCA934651898%107Insufficient dataN/A7Insufficient dataN/A8107
5707FMC-DIALYSIS SERVICES OF EAST LOS ANGELES5525685220 EAST TELFORD STREETEAST LOS ANGELESCA900221897%107Insufficient dataN/A7Insufficient dataN/A8107
5708NATOMAS DIALYSIS55256930 G0LDENLAND COURT BUILDING GSACRAMENTOCA958341797%107Insufficient dataN/A7Insufficient dataN/A8107
5709DIXON DIALYSIS SERVICES552570125 NORTH LINCOLN STREET, SUITE BDIXONCA956201798%107Insufficient dataN/A7Insufficient dataN/A8107
5710NORCO DIALYSIS CENTER5525711901 TOWN AND COUNTRY DRIVE, SUITE 100NORCOCA928601898%107Insufficient dataN/A7Insufficient dataN/A8107
5711CARQUINEZ DIALYSIS CENTER552572125 CORPORATE PLACE SUITE CVALLEJOCA945901798%107Insufficient dataN/A7Insufficient dataN/A8107
5712AZUSA DIALYSIS CENTER, LLC552573312 NORTH AZUSA AVENUEAZUSACA917021888%27Insufficient dataN/A7Insufficient dataN/A827
5713EAST LOS ANGELES DIALYSIS CENTER5525745830 EAST WHITTIER BOULEVARDEAST LOS ANGELESCA900221897%107Insufficient dataN/A7Insufficient dataN/A8107
5714DAVITA-DIALYSIS CENTER OF VENTURA5525752705 LOMA VISTA ROAD, SUITE 101VENTURACA930031894%77Insufficient dataN/A7Insufficient dataN/A877
5715TOKAY HOME DIALYSIS CENTER552576777 SOUTH HAM DRIVE SUITE LLODICA9524217792%97Insufficient dataN/A897
5716SATELLITE DIALYSIS OF STOCKTON5525771801 EAST MARCH LANE SUITE A100STOCKTONCA952101795%87Insufficient dataN/A7Insufficient dataN/A887
5717YUCAIPA DIALYSIS CENTER55257833487 YUCAIPA BOULEVARDYUCAIPACA923991897%107Insufficient dataN/A7Insufficient dataN/A8107
5718LONG BEACH HARBOR (UCLA) DIALYSIS CENTER5525791075 EAST PACIFIC COAST HIGHWAYLONG BEACHCA908061897%107Insufficient dataN/A7Insufficient dataN/A8107
5719DAVITA-MAR VISTA5525802020 SANTA MONICA BOULEVARD, SUITE 100 & 120SANTA MONICACA904041892%5799%107Insufficient dataN/A867
5720CERES DIALYSIS CENTER5525811768 MITCHELL ROAD SUITE 308CERESCA953071795%8796%107Insufficient dataN/A887
5721WELLBOUND OF SAN MATEO5525822000 SOUTH EL CAMINO REAL 2ND FLOORSAN MATEOCA9440317780%57Insufficient dataN/A857
5722METROPOLITAN DIALYSIS CENTER, LLC5525833100 DEL MAR AVENUEROSEMEADCA917701883%07Insufficient dataN/A7Insufficient dataN/A807
5723FMC-DIALYSIS SERVICES OF MID-WILSHIRE5525843545 WILSHIRE BOULEVARD, SUITE 100-103LOS ANGELESCA900101895%87Insufficient dataN/A7Insufficient dataN/A887
5724PERITONEAL DIALYSIS CENTER OF AMERICA, INC.5525853112 WEST BEVERLY BOULEVARDMONTEBELLOCA9064018737%07Insufficient dataN/A807
5725CLEARLAKE DIALYSIS CENTER55258614400 OLYMPIC DRIVECLEARLAKECA954221793%67Insufficient dataN/A7Insufficient dataN/A867
5726WELLBOUND OF SACRAMENTO5525872610 EL PASEO LANE SUITE F19SACRAMENTOCA95821177Insufficient dataN/A7Insufficient dataN/A87
5727DAVITA-BELLFLOWER DIALYSIS CENTER55258815736 WOODRUFF AVENUEBELLFLOWERCA907061899%107Insufficient dataN/A7Insufficient dataN/A8107
5728DAVITA-NORTH GLENDALE5525891505 WILSON TERRACE, SUITE 190GLENDALECA912061898%107Insufficient dataN/A7Insufficient dataN/A8107
5729QUOTIDIAN HOME DIALYSIS CLINIC5525901055 EAST LA HABRA BOULEVARD, SUITE 6LA HABRACA90631187Insufficient dataN/A7Insufficient dataN/A87
5730WEST SACRAMENTO DIALYSIS CLINIC5525913450 INDUSTRIAL BOULEVARD SUITE 100WEST SACRAMENTOCA956911792%5787%77Insufficient dataN/A867
5731STOCKTON KIDNEY CLINIC5525921523 EAST MARCH LANE SUITE 200STOCKTONCA952101797%107Insufficient dataN/A7Insufficient dataN/A8107
5732ANTELOPE VALLEY KIDNEY INSTITUTE55259343932 15TH STREET, SUITE 103LANCASTERCA935341897%1071%07Insufficient dataN/A887
5733DAVITA-EXETER DIALYSIS5525941116 WEST VISALIA ROAD, SUITE 106EXETERCA932211895%87Insufficient dataN/A7Insufficient dataN/A887
5734FMC-MISSION VIEJO55259523681 VIADUCT LINDA, SUITE EASTMISSION VIEJOCA926911885%07Insufficient dataN/A7Insufficient dataN/A807
5735ONTARIO DIALYSIS, INC.5525961001 WEST SIXTH STREET, SUITE AONTARIOCA917621891%57Insufficient dataN/A7Insufficient dataN/A857
5736DAVITA-SANTA FE SPRINGS DIALYSIS55259711147 WASHINGTON BOULEVARDWHITTIERCA906061898%107Insufficient dataN/A7Insufficient dataN/A8107
5737RAI-GOLDENWEST-WESTMINSTER55259815330 GOLDENWEST STREETWESTMINSTERCA926831895%8722%07Insufficient dataN/A877
5738DAVITA-MORENO VALLEY55259922620 GOLDENCREST DRIVE, SUITE 101-103MORENO VALLEYCA92553187Insufficient dataN/A7Insufficient dataN/A87
5739WELLBOUND OF SAN LEANDRO5526001040 DAVIS STREET SUITE 101SAN LEANDROCA9457717790%87Insufficient dataN/A887
5740SIMI DIALYSIS CENTER, LLC5526011407 EAST LOS ANGELES AVENUE, SUITE GSIMI VALLEYCA930651877%07Insufficient dataN/A7Insufficient dataN/A807
5741SAN JOSE AT HOME5526024400 STEVENS CREEK BOULEVARD SUITE 50SAN JOSECA9512917791%97Insufficient dataN/A897
5742JOY OF DIXON DIALYSIS CENTER5526031640 NORTH LINCOLN STREETDIXONCA956201788%27Insufficient dataN/A7Insufficient dataN/A827
5743WEST ELK GROVE DIALYSIS CENTER5526042208 KAUSEN DRIVE SUITE 100ELK GROVECA957581797%107Insufficient dataN/A7Insufficient dataN/A8107
5744RAI OAKLAND HOME PROGRAM 15526052710 TELEGRAPH AVENUE #205OAKLANDCA9461217726%17Insufficient dataN/A817
5745YOSEMITE STREET DIALYSIS5526061650 WEST YOSEMITE AVENUEBldg 2MANTECACA953371793%67Insufficient dataN/A7Insufficient dataN/A867
5746NORTHGATE DIALYSIS CENTER552607650 LAS GALLINAS ROADSAN RAFAELCA949031797%107Insufficient dataN/A7Insufficient dataN/A8107
5747CORNERHOUSE DIALYSIS CENTER5526082005 NAGLEE AVENUESAN JOSECA951281795%87Insufficient dataN/A7Insufficient dataN/A887
5748SATELLITE DIALYSIS ORANGE5526091518 WEST LA VETA AVENUEORANGECA928681896%9781%67Insufficient dataN/A897
5749WALNUT CREEK AT HOME552611400 NORTH WIGET LANEWALNUT CREEKCA94598177Insufficient dataN/A7Insufficient dataN/A87
5750SUNSET DIALYSIS CENTER5526123071 GOLD CANAL DRIVERANCHO CORDOVACA956701797%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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