PATTISON DIALYSIS LLC (NPI# 1093211609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093211609 |
| Entity Type | Organization |
| Organization Name | PATTISON DIALYSIS LLC |
| Other Organization Name | GRANT LINE DIALYSIS |
| Practice Address |
2955 N Corral Hollow Rd Ste 101 Tracy CA 95376-8858 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2098398302 |
| Practice Fax Number | 2098398297 |
| Mailing Telephone | 6153415895 |
| Mailing Fax Number | 8668905560 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
|---|---|
| Grant Line Dialysis | Doing Business As Name - Organization |
| Street Address |
2955 N CORRAL HOLLOW RD STE 101 |
| City | TRACY |
| State | CA |
| Zip Code | 95376-8858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757150 | James Burgess Angel | Technician, Other | 455 W. Eaton Ave., Tracy, CA 95376 | 2019-08-30 |
| 1477079655 | Cassandra Sierra | Specialist/Technologist | 632 W 11th St Ste 119, Tracy, CA 95376 | 2017-08-18 |
| 1922465491 | Jasmeer Kaur Uppal | Registered Nurse | 1411 N. Tracy Bl., Tracy, CA 95376 | 2016-01-28 |
| 1679957773 | Amy Forester | Physical Therapy Assistant | 1752 Schantz Way, Tracy, CA 95376 | 2015-07-17 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1356761209 | Lucille Nowakowski | Registered Nurse | 95 West 11 Th St, Tracy, CA 95376 | 2014-04-18 |
| 1821417718 | Ricardo Echon | Nurse Practitioner | 644 W 12th Street, Tracy, CA 95376 | 2014-04-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1982951554 | Gurpreet Singh Dhaliwal Md Inc. | Anesthesiology | 1530 Bessie Ave Ste 104, Tracy, CA 95376 | 2012-08-13 |
| Find all providers in zip 95376 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457510919 | Satellite Dialysis of Tracy LLC | Clinic/Center | 2156 W Grant Line Rd, Suite 150, Tracy, CA 95377-7338 | 2008-06-09 |
| 1548236268 | Dva Healthcare Renal Care Inc | Clinic/Center | 425 W Beverly Pl, Ste A, Tracy, CA 95376-3086 | 2006-02-23 |
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| 1063010734 | Monad Dialysis, LLC | Clinic/Center | 5238 Manzanita Ave, Carmichael, CA 95608-0510 | 2020-10-14 |
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
| 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 |
| 1275158487 | Cudahy Peritoneal Dialysis Center | Clinic/Center | 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 | 2020-06-12 |
| 1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
| 1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
| 1790308179 | Palo Dialysis LLC | Clinic/Center | 10211 Long Beach Road, Lynwood, CA 90262-1508 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
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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.