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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
651FMC-WEST LOS ANGELES052882301 NORTH PRAIRIE AVENUE, SUITE 100INGLEWOODCA9030118100%107Insufficient dataN/A7Insufficient dataN/A8107
652DAVITA-SAN DIEGO EAST052883292 EUCLID AVENUE, SUITE 100SAN DIEGOCA921141895%8794%107Insufficient dataN/A887
653WHITTIER KIDNEY DIALYSIS CENTER05288416417 EAST WHITTIER BOULEVARDWHITTIERCA906031898%10777%57Insufficient dataN/A897
654FMC-DIALYSIS SERVICES OF PARADISE0528856919 PARADISE VALLEY ROADSAN DIEGOCA921391895%87Insufficient dataN/A7Insufficient dataN/A887
655FMC-DIALYSIS SERVICES OF COLLEGE0528864660 EL CAJON BOULEVARD, SUITE 110SAN DIEGOCA921151894%77Insufficient dataN/A7Insufficient dataN/A877
656SATELLITE DIALYSIS WINDSOR0528878911 LAKEWOOD DRIVE, STE16WINDSORCA954921795%87Insufficient dataN/A7Insufficient dataN/A887
657PARKWAY KIDNEY CENTER0528882200 PLAZA PARKWAY, SUITE B1-B4MODESTOCA953501776%07Insufficient dataN/A7Insufficient dataN/A807
658FMC-NORTH LONG BEACH052889145 WEST VICTORIA STREETLONG BEACHCA90805187Insufficient dataN/A7Insufficient dataN/A87
659FMC-ANTELOPE VALLEY05289044950 VALLEY CENTRAL WAY, SUITE 108LANCASTERCA935361887%17Insufficient dataN/A7Insufficient dataN/A817
660WELLBOUND OF SAN JOSE LLC0528911525 MERIDIAN AVENUE SUITE 101SAN JOSECA9512517793%97Insufficient dataN/A897
661SOLEDAD DIALYSIS CENTER052892901 LOS COCHES DRIVESOLEDADCA939601796%97Insufficient dataN/A7Insufficient dataN/A897
662TEMPLE CITY DIALYSIS FACILITY, INC.0528939945 LOWER AZUSA ROADTEMPLE CITYCA917801892%57Insufficient dataN/A7Insufficient dataN/A857
663RAI-MONROE-INDIO05289446-767 MONROE STREET, SUITE 101INDIOCA922011897%107Insufficient dataN/A7Insufficient dataN/A8107
664DAVITA-LAKE ELSINORE DIALYSIS CENTER05289532291 MISSION TRAILLAKE ELSINORECA925301897%107Insufficient dataN/A7Insufficient dataN/A8107
665DAVITA-CERRITOS DIALYSIS05289619222 PIONEER BOULEVARD, SUITE 101CERRITOSCA907031895%87Insufficient dataN/A7Insufficient dataN/A887
666DAVITA-TUSTIN DIALYSIS CENTER0528972090 NORTH TUSTIN AVENUE, SUITE 100SANTA ANACA927051896%9797%107Insufficient dataN/A897
667RAI-LAGUNA CANYON-IRVINE05289816255 LAGUNA CANYON ROADIRVINECA926181893%67Insufficient dataN/A7Insufficient dataN/A867
668KIDNEY CENTER OF LOS ANGELES0528991125 WEST 6TH STREET, SUITE 101LOS ANGELESCA900171876%0788%87Insufficient dataN/A817
669CHILDRENS HOSPITAL CENTRAL CALIFORNIA0533000524009300 VALLEY CHILDRENS PLACEMAIL STOP SE 13MADERACA93636177Insufficient dataN/A7Insufficient dataN/A87
670CHILDRENS HOSPITAL OF LOS ANGELES0533020523214650 SUNSET BOULEVARD - BOX 40DIVISION OF NEPHROLOGY (DIALYSIS)LOS ANGELESCA90027187Insufficient dataN/A7Insufficient dataN/A87
671CHILDRENS HOSPITAL OF SAN DIEGO0533030523953020 CHILDRENS WAY, MC 5115SAN DIEGOCA92123187Insufficient dataN/A7Insufficient dataN/A87
672LUCILE PACKARD STANFORD PEDIATRIC DIALYSIS053305052390725 WELCH ROAD PEDIATRIC DIALYSIS ROOM 1229PALO ALTOCA94304177Insufficient dataN/A7Insufficient dataN/A87
673PEDIATRIC DIALYSIS UNIT AT UCSF053501400 PARNASSUS ROOM A127BOX 0314SAN FRANCISCOCA94143177Insufficient dataN/A7Insufficient dataN/A87
674KAWEAH DELTA DIALYSIS FACILITY0535065040 WEST TULARE AVENUEVISALIACA932771895%8714%17Insufficient dataN/A877
675PORTERVILLE HEMODIALYSIS FACILITY053512052457385 NORTH PEARSON DRIVEPORTERVILLECA932571895%87Insufficient dataN/A7Insufficient dataN/A887
676ROSE GARDEN DIALYSIS CENTER053520999 WEST TAYLOR STREETSAN JOSECA951261792%57Insufficient dataN/A7Insufficient dataN/A857
677MEE MEMORIAL HOSPITAL-DIALYSIS053521050189809 BROADWAY SUITE AKING CITYCA939301798%107Insufficient dataN/A7Insufficient dataN/A8107
678UC CHRONIC DIALYSIS/MT. ZION0535231675 SCOTT STREETSAN FRANCISCOCA941151791%57Insufficient dataN/A7Insufficient dataN/A857
679COMMUNITY DIALYSIS CENTER - CLOVIS053524685 MEDICAL CENTER DRIVE WEST #105XCLOVISCA936111795%87Insufficient dataN/A7Insufficient dataN/A887
680COMMUNITY DIALYSIS CENTER053525285 NORTH FRESNO STREETFRESNOCA937011798%10771%37Insufficient dataN/A887
681SAN JOAQUIN GENERAL HOSPITAL0535260501677783 SOUTH FREEDOM ROADFRENCH CAMPCA952311791%67Insufficient dataN/A7Insufficient dataN/A867
682ST. JOSEPH HOSPITAL DIALYSIS CENTER-SANTA ANA0535270524022212 EAST 4TH STREET, SUITE 101SANTA ANACA927051898%107Insufficient dataN/A7Insufficient dataN/A8107
683UNIVERSITY OF CO HOSPITAL - DIALYSIS06002406230312605 EAST 16TH AVENUEAURORACO800451576%0783%67Insufficient dataN/A837
684ROCKY MOUNTAIN DIALYSIS (FMC)0625014600 HALE PARKWAY SUITE 120DENVERCO802201592%57Insufficient dataN/A7Insufficient dataN/A857
685LAKEWOOD DIALYSIS (DVA)0625021750 PIERCE STREETLAKEWOODCO802141586%17Insufficient dataN/A7Insufficient dataN/A817
686NORTHERN COLORADO KIDNEY CENTER (FMC)0625051213 RIVERSIDE AVENUEFORT COLLINSCO805241590%4783%67Insufficient dataN/A847
687PIKES PEAK DIALYSIS CENTER (DVA)0625072002 LELARAY STREET SUITE 130COLORADO SPRINGSCO809091593%6793%97Insufficient dataN/A867
688GREELEY DIALYSIS (FMC)0625102343 WEST 27TH STREET SUITE 503GREELEYCO806341595%87Insufficient dataN/A7Insufficient dataN/A887
689THORNTON DIALYSIS (DVA)0625118800 FOX DRIVETHORNTONCO802601595%87Insufficient dataN/A7Insufficient dataN/A887
690AURORA DIALYSIS (DVA)0625141411 SOUTH POTOMAC STREET SUITE 100AURORACO800121595%87Insufficient dataN/A7Insufficient dataN/A887
691WESTMINSTER DIALYSIS (DVA)0625169053 HARLAN STREET SUITE 90WESTMINSTERCO800301588%27Insufficient dataN/A7Insufficient dataN/A827
692BOULDER DIALYSIS (DVA)0625172880 FOLSOM STREET SUITE 110BOULDERCO803041595%87Insufficient dataN/A7Insufficient dataN/A887
693SOUTH DENVER DIALYSIS (DVA)062518850 EAST HARVARD AVENUE SUITE 60DENVERCO802101597%107Insufficient dataN/A7Insufficient dataN/A8107
694LITTLETON DIALYSIS (DVA)062519209 WEST COUNTY LINE ROADLITTLETONCO801291595%87Insufficient dataN/A7Insufficient dataN/A887
695PUEBLO DIALYSIS (FMC)06252041 MONTEBELLO ROAD SUITE 200PUEBLOCO810011594%7781%67Insufficient dataN/A877
696ARVADA DIALYSIS CENTER (DVA)0625219950 WEST 80TH AVENUE SUITE 25ARVADACO800051592%57Insufficient dataN/A7Insufficient dataN/A857
697CANON CITY DIALYSIS (FMC)0625222245 FREMONT DRIVECANON CITYCO812121595%87Insufficient dataN/A7Insufficient dataN/A887
698LOVELAND DIALYSIS (FMC)0625232940 GINNALA DRIVELOVELANDCO805381583%07Insufficient dataN/A7Insufficient dataN/A807
699PRINTERS PLACE DIALYSIS CENTER (DVA)0625242802 INTERNATIONAL CIRCLECOLORADO SPRINGSCO809101589%37Insufficient dataN/A7Insufficient dataN/A837
700LA JUNTA DIALYSIS (FMC)0625251116 CARSON AVENUELA JUNTACO810501596%97Insufficient dataN/A7Insufficient dataN/A897

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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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