TOTAL RENAL CARE INC (NPI# 1023438645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023438645 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE INC |
| Other Organization Name | SAN QUENTIN PRISON PROGRAM |
| Practice Address |
1 Main St San Quentin CA 94964-1000 |
| Mailing Address |
15253 Bake Pkwy Irvine CA 92618-2502 |
| Practice Telephone | 4154440376 |
| Mailing Telephone | 9499304400 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Authorized Official Name | NICOLE CLARKE (ASSISTANT REGIONAL REVENUE MANAGER) |
| Authorized Official Telephone | 9499306874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SAN QUENTIN PRISON PROGRAM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690506 | Total Renal Care Inc | Clinic/Center | 16290 Auto Ln, Sumner, WA 98390-2568 | 2020-08-21 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1750939963 | Total Renal Care Inc | Clinic/Center | 7 Cambridge Dr Ste 105, Trumbull, CT 06611-4763 | 2019-08-30 |
| 1992358170 | Total Renal Care Inc | Clinic/Center | 1700 Markley St, Ste 122, Norristown, PA 19401-2902 | 2019-07-17 |
| 1760034599 | Total Renal Care Inc | Clinic/Center | 9431 Corkscrew Palms Cir, Estero, FL 33928-6275 | 2019-07-11 |
| 1225691447 | Total Renal Care Inc | Clinic/Center | 1115 N Nova Rd, Daytona Beach, FL 32117-4108 | 2019-04-15 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1477019388 | Total Renal Care Inc | Clinic/Center | 4539 Chiquita Blvd S, Cape Coral, FL 33914 | 2019-02-15 |
| 1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Total Renal Care Inc. | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | TOTAL RENAL CARE INC. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
1 MAIN ST |
| City | SAN QUENTIN |
| State | CA |
| Zip Code | 94964-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811447592 | Margaret Hanna | Nurse Practitioner | 1 Main St, San Quentin Prison, San Quentin, CA 94964-1000 | 2016-10-06 |
| 1851740708 | Haiyan Ramirez Batlle | Internal Medicine | 1 Main St, San Quentin, CA 94964-1000 | 2016-06-10 |
| 1851704027 | Erica Haines | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2014-06-05 |
| 1720408859 | Yan Chan | Student in an Organized Health Care Education/Training Program | 1 Main St, San Quentin, CA 94964 | 2014-04-16 |
| 1780012914 | Reyna Downey | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2013-10-25 |
| 1710319819 | Angelina K Enos | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2013-07-31 |
| 1033551593 | Karen Lippman | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2013-07-25 |
| 1124460688 | Robert Steiner | Psychologist | 1 Main St, Chsb Rm 2123, San Quentin, CA 94964-1000 | 2013-07-25 |
| 1164864187 | Judy M. Wick | Social Worker | 1 Main St, San Quentin, CA 94964-1000 | 2013-07-18 |
| 1881036929 | Reina Lorine Fong | Psychologist | 1 Main St, San Quentin, CA 94964-1000 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760636864 | Harun Evcimen | Psychiatry & Neurology | 1 Main St. H-unit Yard Tele Psychiatry, Cdcr San Quetin State Prison, San Quentin, CA 94964 | 2008-11-17 |
| 1790905156 | Ucsf Medical Center | Nurse Practitioner | San Quentin State Prison, San Quentin, CA 94964 | 2007-04-26 |
| 1477613115 | Laureen Linda Jang | Dentist | San Quentin, San Quentin, CA 94964 | 2006-12-11 |
| 1427062660 | Elena Tootell | Family Medicine | Office of The Cmo, San Quentin State Prison, San Quentin, CA 94964 | 2006-07-27 |
| 1205894771 | Fouad Kiani | Dentist | 1 Main St., San Quentin, CA 94964 | 2006-05-03 |
| 1518958743 | Bradley Kenneth Deal | Psychiatry & Neurology | 13 Main St., San Quentin Prison, San Quentin, CA 94964 | 2005-11-05 |
| 1104373570 | Jane Lovelle | Social Worker | San Quentin State Prison, San Quentin, CA 94964 | 2016-09-02 |
| 1780049213 | Patricia Sweeny Toboni | Speech-Language Pathologist | 64 Main Street, #2 Rear Bldg., San Quentin, CA 94964 | 2015-12-29 |
| 1144621368 | Eric Monthei | Psychologist | San Quentin State Prison, San Quentin, CA 94964 | 2014-09-08 |
| 1982025755 | Hillel Greene | Social Worker | San Quentin State Prison, Central Health Services Building 4th Floor, San Quentin, CA 94964 | 2013-12-22 |
| Find all providers in zip 94964 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1659997112 | Arbela Dialysis LLC | Clinic/Center | 900 Huntington Dr Ste B, San Marino, CA 91108-1825 | 2020-06-22 |
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| Find all providers with the same taxonomy | ||||
| City | SAN QUENTIN |
| Zip Code | 94964 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.