CHERAW DIALYSIS LLC (NPI# 1396203246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396203246 |
Entity Type | Organization |
Organization Name | CHERAW DIALYSIS LLC |
Practice Address |
2415 San Pablo Dam Rd Ste 504 San Pablo CA 94806-3906 |
Mailing Address |
5200 Virginia Way L&c Dept. Brentwood TN 37027-7569 |
Practice Telephone | 5102332930 |
Practice Fax Number | 5102336002 |
Mailing Telephone | 6153415895 |
Mailing Fax Number | 8668905560 |
Enumeration Date | 2019-03-11 |
Last Update Date | 2019-03-11 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2533734500 |
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 |
---|---|
Alvarado Park Home Training | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124443791 | Cheraw Dialysis LLC | Clinic/Center | 3380 San Pablo Dam Rd Ste C-d, San Pablo, CA 94803-7218 | 2014-02-19 |
Street Address |
2415 SAN PABLO DAM RD STE 504 |
City | SAN PABLO |
State | CA |
Zip Code | 94806-3906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
Find all providers in zip 94806 |
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 |
---|---|---|---|---|
1124443791 | Cheraw Dialysis LLC | Clinic/Center | 3380 San Pablo Dam Rd Ste C-d, San Pablo, CA 94803-7218 | 2014-02-19 |
1942275953 | Dva Healthcare Renal Care Inc | Clinic/Center | 14020 San Pablo Ave, San Pablo, CA 94806-3604 | 2006-02-22 |
1790912970 | Llano Dialysis LLC | Clinic/Center | 14020 San Pablo Ave, San Pablo, CA 94806-3604 | 2009-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306444765 | Kinter Dialysis, LLC | Clinic/Center | 1055 El Camino Real, Colma, CA 94014-3234 | 2020-10-16 |
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 |
Please comment or provide details below to improve the information on CHERAW DIALYSIS LLC.
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.