PATCH DIALYSIS LLC (NPI# 1174804959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174804959 |
| Entity Type | Organization |
| Organization Name | PATCH DIALYSIS LLC |
| Other Organization Name | NORTHWEST FRESNO DIALYSIS |
| Practice Address |
4753 W Shaw Ave Fresno CA 93722-6209 |
| Mailing Address |
5200 Virginia Way L&c Dept 4th Fl Brentwood TN 37027-7569 |
| Practice Telephone | 5592778738 |
| Practice Fax Number | 5592773465 |
| Mailing Telephone | 6153415895 |
| Mailing Fax Number | 8668905560 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2013-02-06 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2533821919 |
| 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 |
|---|---|
| Northwest Fresno Dialysis | Doing Business As Name - Organization |
| Street Address |
4753 W SHAW AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-6209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851365852 | Dva Healthcare Renal Care Inc | Clinic/Center | 4753 W Shaw Ave, Ste 101, Fresno, CA 93722-6218 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| 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 |
|---|---|---|---|---|
| 1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
| 1942784541 | Fresenius Medical Care Fresno North Home, LLC | Clinic/Center | 6733 N Willow Ave Ste 101, Fresno, CA 93710-5953 | 2018-09-19 |
| 1235677832 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 1899 N Helm Ave, Suite 102, Fresno, CA 93727-1612 | 2017-02-03 |
| 1669840146 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 1899 N Helm Ave Ste 101, Fresno, CA 93727-1612 | 2015-09-14 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| 1669717039 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 6737 N Willow Ave, Bldg C, Fresno, CA 93710-5954 | 2012-12-11 |
| 1649515115 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 3036 North 1st St., Suite 144, Fresno, CA 93726-6818 | 2012-12-10 |
| 1659647808 | South Fork Dialysis LLC | Clinic/Center | 560 E Herndon Ave, Ste 101, Fresno, CA 93720-2907 | 2012-03-31 |
| 1821269069 | Bio-medical Applications of California, Inc. | Clinic/Center | 6737 N Willow Ave Ste 101, Fresno, CA 93710-5954 | 2008-03-16 |
| 1073705018 | Total Renal Care Inc | Clinic/Center | 6121 N Thesta St Ste 102, Fresno, CA 93710-5294 | 2007-08-14 |
| Find all providers in FRESNO | ||||
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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.