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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
551RAI CESAR CHAVEZ0527751750 CESAR CHAVEZ STREET SUITE ASAN FRANCISCOCA941241793%67Insufficient dataN/A7Insufficient dataN/A867
552HI-DESERT DIALYSIS05277658457 TWENTY-NINE PALMS HIGHWAY, SUITE 102YUCCA VALLEYCA922841896%9796%107Insufficient dataN/A897
553SANTA CLARITA KIDNEY CENTER05277823861 WEST MCBEAN PARKWAY, SUITE E-11VALENCIACA913551876%67Insufficient dataN/A7Insufficient dataN/A867
554RAI-MISSION GORGE-SAN DIEGO0527797007 MISSION GORGE ROAD, 1ST FLOORSAN DIEGOCA921201896%97Insufficient dataN/A7Insufficient dataN/A897
555FRESENIUS MEDICAL CARE BALBOA II, LLC052780570 NORTH SECOND STREETEL CAJONCA920211892%57Insufficient dataN/A7Insufficient dataN/A857
556NORTH HOLLYWOOD DIALYSIS05278112126 VICTORY BOULEVARDNORTH HOLLYWOODCA916061895%8787%77Insufficient dataN/A887
557MOUNTAIN VIEW DIALYSIS CENTER, INC.052782900 SOUTH MOUNTAIN AVENUEMONROVIACA910161888%27Insufficient dataN/A7Insufficient dataN/A827
558MODESTO KIDNEY CENTER, LLC052783305 EAST GRANGER AVENUE, SUITE 102MODESTOCA953501778%076%07Insufficient dataN/A807
559DELTA SIERRA DIALYSIS CENTER052784555 WEST BENJAMIN HOLT DRIVE #200STOCKTONCA952071798%107Insufficient dataN/A7Insufficient dataN/A8107
560DOCTORS DIALYSIS CENTER OF MONTEBELLO0527851721 WEST WHITTIER BOULEVARDMONTEBELLOCA906401899%107Insufficient dataN/A7Insufficient dataN/A8107
561EL CERRITO DIALYSIS CENTER05278610690 SAN PABLO AVENUEEL CERRITOCA945301798%107Insufficient dataN/A7Insufficient dataN/A8107
562ALAMEDA COUNTY DIALYSIS CENTER05278710700 MACARTHUR BOULEVARD SUITE 14AOAKLANDCA946051793%67Insufficient dataN/A7Insufficient dataN/A867
563NEPHRON DIALYSIS CENTER OF LAKEWOOD, LLC0527885820 DOWNEY AVENUELONG BEACHCA908051893%67Insufficient dataN/A7Insufficient dataN/A867
564INDIAN WELLS VALLEY052789212 SOUTH RICHMOND ROADRIDGECRESTCA935551894%77Insufficient dataN/A7Insufficient dataN/A877
565KIDNEY CARE CENTER OF NORTH VALLEY, INC05279016907 DEVONSHIRE STREETGRANADA HILLSCA913441877%07Insufficient dataN/A7Insufficient dataN/A807
566ROSEMEAD DIALYSIS CENTER0527917403 HELLMAN AVENUEROSEMEADCA917701885%07Insufficient dataN/A7Insufficient dataN/A807
567FMC-IMPERIAL COUNTY052792200 WAKE AVENUEEL CENTROCA922431894%77Insufficient dataN/A7Insufficient dataN/A877
568SATELLITE DIALYSIS REDWOOD CITY0527931410 MARSHALL STREETREDWOOD CITYCA940631791%57Insufficient dataN/A7Insufficient dataN/A857
569DAVITA-USC KIDNEY CENTER0527942310 ALCAZAR STREETLOS ANGELESCA900331897%10792%97Insufficient dataN/A8107
570DCI MADISON DIALYSIS CLINIC0527965222 MADISON AVENUESACRAMENTOCA958411797%107Insufficient dataN/A7Insufficient dataN/A8107
571FMC ARDENWOOD05279737478 CEDAR BOULEVARD SUITE ANEWARKCA945601795%87Insufficient dataN/A7Insufficient dataN/A887
572RAI-NEWHOPE-FOUNTAIN VALLEY05279817197 NEWHOPE STREET, SUITE A, B, C & DFOUNTAIN VALLEYCA927081892%57Insufficient dataN/A7Insufficient dataN/A857
573DAVITA-SAN DIEGO SOUTH DIALYSIS052799995 GATEWAY CENTER WAY, SUITE 101SAN DIEGOCA921021897%107Insufficient dataN/A7Insufficient dataN/A8107
574DAVITA-DIALYSIS CENTER OF SANTA PAULA052800253 MARCH STREETSANTA PAULACA930601897%107Insufficient dataN/A7Insufficient dataN/A8107
575HOLLYWOOD DIALYSIS CENTER0528015108 SUNSET BOULEVARDLOS ANGELESCA900271892%57Insufficient dataN/A7Insufficient dataN/A857
576DAVITA-HARBOR UCLA05280221602 SOUTH VERMONT AVENUETORRANCECA905021898%10793%97Insufficient dataN/A8107
577DAVITA-CARSON DIALYSIS0528031309 EAST CARSON STREETCARSONCA907451899%107Insufficient dataN/A7Insufficient dataN/A8107
578DAVITA-MONTCLAIR DIALYSIS CENTER0528045050 PALO VERDE STREET, SUITE 100MONTCLAIRCA917631897%107Insufficient dataN/A7Insufficient dataN/A8107
579GRASS VALLEY DIALYSIS CENTER05280536O CROWN POINT CIRCLE, SUITE 210GRASS VALLEYCA959451792%57Insufficient dataN/A7Insufficient dataN/A857
580KIDNEY DIALYSIS CENTER OF BALDWIN HILLS, LLC0528063705 SOUTH LA BREA AVENUELOS ANGELESCA900161891%57Insufficient dataN/A7Insufficient dataN/A857
581DAVITA-VALLEY VIEW DIALYSIS05280726900 CACTUS AVENUEMORENO VALLEYCA925551899%107Insufficient dataN/A7Insufficient dataN/A8107
582SADDLEBACK DIALYSIS05280823141 PLAZA POINTE DRIVELAGUNA HILLSCA926531897%107Insufficient dataN/A7Insufficient dataN/A8107
583INNOVATIVE DIALYSIS CENTER OF WEST LOS ANGELES, LLC0528091801 SOUTH LA CIENEGA BOULEVARDLOS ANGELESCA900351888%27Insufficient dataN/A7Insufficient dataN/A827
584BENICIA DIALYSIS CENTER052810560 FIRST STREET BUILDING D103BENICIACA945101795%8796%107Insufficient dataN/A887
585SAN LUIS OBISPO DIALYSIS0528111043 MARSH STREETSAN LUIS OBISPOCA934011887%1797%107Insufficient dataN/A837
586FMC-BLYTHE DESERT DIALYSIS052812737 WEST HOBSON WAYBLYTHECA922251879%07Insufficient dataN/A7Insufficient dataN/A807
587SAN FRANCISCO GENERAL HOSPITAL RENAL CENTER0528130523971001 POTRERO BUILDING 100, ROOM 342SAN FRANCISCOCA941101723%0745%07Insufficient dataN/A807
588TRACY DIALYSIS CENTER052814425 BEVERLY PLACE, SUITE ATRACYCA953761797%107Insufficient dataN/A7Insufficient dataN/A8107
589RAI BANCROFT0528156955 FOOTHILL BOULEVARD SUITE 220OAKLANDCA946051791%57Insufficient dataN/A7Insufficient dataN/A857
590DESERT CITIES DIALYSIS OF BARSTOW052816655 SOUTH 7TH STREETBARSTOWCA923111893%67Insufficient dataN/A7Insufficient dataN/A867
591RAI-CARE CENTERS OF COLTON, LLC0528171275 WEST "C" STREETCOLTONCA923241897%107Insufficient dataN/A7Insufficient dataN/A8107
592UCSD DIALYSIS CENTER052818200 WEST ARBOR DRIVEDIALYSIS PROGRAM, MAIL CODE 8781SAN DIEGOCA921031897%107Insufficient dataN/A7Insufficient dataN/A8107
593SATELLITE DIALYSIS SAN MATEO0528192000 SOUTH EL CAMINO REALSAN MATEOCA944031794%77Insufficient dataN/A7Insufficient dataN/A877
594RAI-FOOTHILL BLVD.-GLENDORA052820120 WEST FOOTHILL BOULEVARDGLENDORACA917401891%57Insufficient dataN/A7Insufficient dataN/A857
595PACIFIC SOUTHBAY DIALYSIS, LLC0528211149 WEST 190TH STREET, SUITE 1004GARDENACA902481879%0760%07Insufficient dataN/A807
596OAKLAND PERITONEAL DIALYSIS CENTER0528225352 CLAREMONT AVENUEOAKLANDCA9461817789%87Insufficient dataN/A887
597WOODLAND DIALYSIS SERVICES, LLC05282535 WEST MAIN STREETWOODLANDCA956951799%107Insufficient dataN/A7Insufficient dataN/A8107
598NORTH HIGHLANDS DIALYSIS CENTER0528264612 ROSEVILLE ROAD SUITE 100NORTH HIGHLANDSCA956601796%9787%77Insufficient dataN/A897
599INNOVATIVE DIALYSIS SYSTEMS OF PANORAMA CITY05282714600 ROSCOE BOULEVARDPANORAMA CITYCA914021871%0718%17Insufficient dataN/A807
600DAVITA-LOS ANGELES DOWNTOWN0528282021 SOUTH FLOWER STREETLOS ANGELESCA900071897%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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