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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
601FMC-SANTA PAULA052829242 EAST HARVARD BOULEVARDSANTA PAULACA930601895%87Insufficient dataN/A7Insufficient dataN/A887
602FMC-CALEXICO DESERT DIALYSIS052830408 EAST THIRD STREET, SUITE ACALEXICOCA922311894%77Insufficient dataN/A7Insufficient dataN/A877
603FMC DIABLO WEST ANTIOCH0528312386 BUCHANAN ROADANTIOCHCA945091796%97Insufficient dataN/A7Insufficient dataN/A897
604KIDNEY INSTITUTE AT EISENHOWER MEDICAL CENTER05283239000 BOB HOPE DRIVE, SUITE 103PROBST BUILDINGRANCHO MIRAGECA922701879%27Insufficient dataN/A7Insufficient dataN/A827
605DSI OCEANSIDE DIALYSIS0528342227- B EL CAMINO REALOCEANSIDECA920541897%107100%107Insufficient dataN/A8107
606DSI CHULA VISTA DIALYSIS0528351181 BROADWAY, SUITE 5CHULA VISTACA919111897%107Insufficient dataN/A7Insufficient dataN/A8107
607TOIYABE DIALYSIS CENTER05283644 TU SU LANEBISHOPCA935141894%77Insufficient dataN/A7Insufficient dataN/A877
608300 S. ROBERTSON DIALYSIS, LLC052837300 SOUTH ROBERTSON BOULEVARDLOS ANGELESCA900481879%0773%37Insufficient dataN/A817
609LOMPOC ARTIFICIAL KIDNEY CENTER, LLC052838127 WEST PINE AVENUELOMPOCCA934361892%5768%57Insufficient dataN/A857
610NORTHEAST BAKERSFIELD DIALYSIS0528393761 MALL VIEW ROADBAKERSFIELDCA933061897%107Insufficient dataN/A7Insufficient dataN/A8107
611LONG BEACH DIALYSIS CENTER0528401045 ATLANTIC AVENUE, SUITE 108LONG BEACHCA908131880%07Insufficient dataN/A7Insufficient dataN/A807
612ANTIOCH DIALYSIS CENTER0528413100 DELTA FAIR BOULEVARDANTIOCHCA945091794%77Insufficient dataN/A7Insufficient dataN/A877
613FMC-BUENA CREEK052842950 HACIENDA DRIVEVISTACA920811892%5786%77Insufficient dataN/A857
614MONTEBELLO DIALYSIS CENTER, LLC052843111 WEST BEVERLY BOULEVARD, SUITE AMONTEBELLOCA906401891%57Insufficient dataN/A7Insufficient dataN/A857
615DAVITA-IMPERIAL CARE DIALYSIS CENTER0528444345 EAST IMPERIAL HIGHWAYLYNWOODCA902621898%107Insufficient dataN/A7Insufficient dataN/A8107
616SOUTH HAYWARD DIALYSIS CENTER052845254 JACKSON STREETHAYWARDCA945441793%67Insufficient dataN/A7Insufficient dataN/A867
617FMC-INGLEWOOD052846336 EAST HILLCREST AVENUE, SUITE 100INGLEWOODCA903011891%57Insufficient dataN/A7Insufficient dataN/A857
618FMC-WEST COVINA KIDNEY CENTER0528471540 WEST COVINA PARKWAYWEST COVINACA917901895%87Insufficient dataN/A7Insufficient dataN/A887
619FMC-RIVERSIDE0528483470 LA SIERRA AVENUE, SUITE EASTRIVERSIDECA925031894%77Insufficient dataN/A7Insufficient dataN/A877
620ORANGEVALE DIALYSIS CENTER0528509267 GREENBACK LANE #A2ORANGEVALECA956621793%67Insufficient dataN/A7Insufficient dataN/A867
621DAVITA-CRESCENT HEIGHTS DIALYSIS CENTER0528528151 BEVERLY BOULEVARDLOS ANGELESCA900481896%9791%97Insufficient dataN/A897
622OAKDALE KIDNEY CENTER, LLC0528531405 WEST F STREET SUITE BOAKDALECA953611788%27Insufficient dataN/A7Insufficient dataN/A827
623MOHAN DIALYSIS CENTER OF INDUSTRY05285415757 EAST VALLEY BOULEVARDCITY OF INDUSTRYCA917441893%67Insufficient dataN/A7Insufficient dataN/A867
624FMC-RANCHO CUCAMONGA05285510532 ACACIA STREET, SUITE B2-B3RANCHO CUCAMONGACA917301891%57Insufficient dataN/A7Insufficient dataN/A857
625DAVITA-WASHINGTON PLAZA DIALYSIS CENTER052856516-522 EAST WASHINGTON BOULEVARDLOS ANGELESCA900151894%77Insufficient dataN/A7Insufficient dataN/A877
626FLORIN DIALYSIS CENTER0528577000 STOCKTON BOULEVARDSACRAMENTOCA958231797%107Insufficient dataN/A7Insufficient dataN/A8107
627DAVITA-KENNETH HAHN PLAZA DIALYSIS CENTER05285811854 SOUTH WILMINGTON AVENUELOS ANGELESCA900591897%107Insufficient dataN/A7Insufficient dataN/A8107
628DAVITA -WEST GLENDALE DIALYSIS0528591427 SOUTH GLENDALE AVENUEGLENDALECA912051898%107Insufficient dataN/A7Insufficient dataN/A8107
629FMC-DIALYSIS SERVICES CHANNEL ISLANDS0528602679 SOUTH SAVIERS ROAD, SUITE BOXNARDCA930331898%107Insufficient dataN/A7Insufficient dataN/A8107
630FMC-SOUTH ORANGE COUNTY0528612020 EAST FIRST STREET, SUITE 110SANTA ANACA927051893%67Insufficient dataN/A7Insufficient dataN/A867
631FMC-NORTH ORANGE COUNTY052862511 NORTH BROOKHURST STREET, SUITE 100ANAHEIMCA928011899%107Insufficient dataN/A7Insufficient dataN/A8107
632RAI-NORTH RIVERSIDE-RIALTO0528631850 NORTH RIVERSIDE AVENUE, SUITE 150RIALTOCA923761893%67Insufficient dataN/A7Insufficient dataN/A867
633FMC-SAN YSIDRO DIALYSIS CENTER0528643010 DEL SOL BOULEVARDSAN DIEGOCA921541891%57Insufficient dataN/A7Insufficient dataN/A857
634DAVITA-CENTURY CITY DIALYSIS CENTER (ADULT)05286510630 SANTA MONICA BOULEVARDLOS ANGELESCA900251894%7790%87Insufficient dataN/A877
635SAN YSIDRO DIALYSIS0528661445 30TH STREET, SUITE ASAN DIEGOCA921541898%10790%87Insufficient dataN/A8107
636EAST PALMDALE DIALYSIS CENTER0528672710 EAST PALMDALE BOULEVARDPALMDALECA93550182%07Insufficient dataN/A7Insufficient dataN/A807
637QUEENS DIALYSIS UNIT, INC.0528681135 SOUTH SUNSET AVENUE, SUITE 103WEST COVINACA917901890%47Insufficient dataN/A7Insufficient dataN/A847
638DAVITA-PALMDALE REGIONAL DIALYSIS0528691643 EAST PALMDALE BOULEVARDPALMDALECA935501897%107Insufficient dataN/A7Insufficient dataN/A8107
639SATELLITE DIALYSIS SUNNYVALE052870155 NORTH WOLFE ROADSUNNYVALECA940861795%87Insufficient dataN/A7Insufficient dataN/A887
640CENTRAL COAST KIDNEY DISEASE CENTER0528712263 SOUTH DEPOT STREETSANTA MARIACA934551886%1788%87Insufficient dataN/A827
641FLORENCE DIALYSIS CENTER052872351 WEST FLORENCE AVENUELOS ANGELESCA900031899%107Insufficient dataN/A7Insufficient dataN/A8107
642DAVITA-DIALYSIS CENTER OF THOUSAND OAKS052873375 ROLLING OAKS DRIVE, SUITE 100THOUSAND OAKSCA913611887%17Insufficient dataN/A7Insufficient dataN/A817
643SATELLITE DIALYSIS SOUTH SAN FRANCISCO052874205 KENWOOD WAYSOUTH SAN FRANCISCOCA940801794%77Insufficient dataN/A7Insufficient dataN/A877
644RENAL CAREPARTNERS OF LOS ANGELES0528759808 VENICE BOULEVARD, SUITE 200CULVER CITYCA902321835%17Insufficient dataN/A7Insufficient dataN/A817
645OROVILLE DIALYSIS CLINIC0528763012 OLIVE HIGHWAYOROVILLECA959661786%17Insufficient dataN/A7Insufficient dataN/A817
646YUBA SUTTER DIALYSIS0528772115 EAST ONSTOTT ROADYUBA CITYCA959911790%47Insufficient dataN/A7Insufficient dataN/A847
647FMC-SAN BERNARDINO052878636 EAST BRIER DRIVE, SUITE 150SAN BERNARDINOCA9240818100%107Insufficient dataN/A7Insufficient dataN/A8107
648HACIENDA DIALYSIS CENTER0528792020 SOUTH HACIENDA BOULEVARD, SUITE GHACIENDA HEIGHTSCA917451896%97Insufficient dataN/A7Insufficient dataN/A897
649FMC-BELLFLOWER05288010116 ROSECRANS AVENUEBELLFLOWERCA907061899%107Insufficient dataN/A7Insufficient dataN/A8107
650NEWPORT BEACH DIALYSIS0528813333 WEST COAST HIGHWAY, SUITE 101NEWPORT BEACHCA926631892%57Insufficient dataN/A7Insufficient dataN/A857

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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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