Healthcare Provider Details
I. General information
NPI: 1285510420
Provider Name (Legal Business Name): AMERICAN RENAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2025
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
220 N IMPERIAL AVE
IMPERIAL CA
92251-1265
US
IV. Provider business mailing address
220 N IMPERIAL AVE
IMPERIAL CA
92251-1265
US
V. Phone/Fax
- Phone: 442-283-5049
- Fax: 442-283-5089
- Phone: 442-283-5049
- Fax: 442-283-5089
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QE0700X |
| Taxonomy | End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOSOUD
AFSHAR
Title or Position: CEO
Credential: MD
Phone: 972-974-2852