RENAL TREATMENT CENTERS CALIFORNIA INC (NPI# 1396704771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396704771 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS CALIFORNIA INC |
| Other Organization Name | FAIRFIELD DIALYSIS CENTER |
| Practice Address |
4660 Central Way Fairfield CA 94534-1803 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7078637369 |
| Practice Fax Number | 7078637384 |
| Mailing Telephone | 1563416282 |
| Mailing Fax Number | 8003365910 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
110000438 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1396704771 | 05 |
| Other Name | Type Code |
|---|---|
| Fairfield Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275661506 | Renal Treatment Centers California Inc | Clinic/Center | 14400 Olympic Dr, Clearlake, CA 95422-8809 | 2007-02-28 |
| 1528168291 | Renal Treatment Centers California Inc | Clinic/Center | 33487 Yucaipa Blvd, Yucaipa, CA 92399-2064 | 2006-09-23 |
| 1215032404 | Renal Treatment Centers California Inc | Clinic/Center | 1075 E Pacific Coast Hwy, Long Beach, CA 90806-5089 | 2006-09-13 |
| 1750486148 | Renal Treatment Centers California Inc | Clinic/Center | 2020 Santa Monica Blvd Ste 100, Santa Monica, CA 90404-2139 | 2006-09-13 |
| 1932127800 | Renal Treatment Centers California Inc | Clinic/Center | 2455 Sister Mary Columba Dr, Red Bluff, CA 96080-4364 | 2006-07-18 |
| 1487609384 | Renal Treatment Centers California Inc | Clinic/Center | 15736 Woodruff Ave, Bellflower, CA 90706-4018 | 2006-05-23 |
| 1245293356 | Renal Treatment Centers California Inc | Clinic/Center | 2345 Forest Ave, Chico, CA 95928-7641 | 2006-04-10 |
| 1366405342 | Renal Treatment Centers California Inc | Clinic/Center | 941 Merchant St, Vacaville, CA 95688-5315 | 2006-04-10 |
| 1689637795 | Renal Treatment Centers California Inc | Clinic/Center | 1820 E Deere Ave, Santa Ana, CA 92705-5721 | 2006-04-10 |
| 1407819485 | Renal Treatment Centers California Inc | Clinic/Center | 26900 Cactus Ave, Moreno Valley, CA 92555-3912 | 2006-04-10 |
| Street Address |
4660 CENTRAL WAY |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| 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 |
|---|---|---|---|---|
| 1942622311 | Goza Dialysis LLC | Clinic/Center | 3825 Kraus Ln Ste S, Fairfield, OH 45014-5867 | 2014-01-20 |
| 1902228513 | Dialysis Clinic Inc | Clinic/Center | 205 Ridge Rd, Fairfield, ME 04937-3376 | 2014-01-16 |
| 1790106300 | Harmony Dialysis LLC | Clinic/Center | 1800 N Texas Street, Fairfield, CA 94533-4441 | 2013-12-27 |
| 1558524512 | Total Renal Care Inc | Clinic/Center | 427 Stillson Rd, Fairfield, CT 06824-3153 | 2008-07-09 |
| 1144490178 | Southeastern Renal Dialysis L.c. | Clinic/Center | 2000 A S Main St, Fairfield, IA 52556 | 2008-03-05 |
| 1073796421 | Liberty Dialysis - Fairfield LLC | Clinic/Center | 500 Kings Hwy, Fairfield, CT 06825-4847 | 2007-12-07 |
| 1457463291 | Nna of Alabama, Inc. | Clinic/Center | 6508 Ej Oliver Blvd, Fairfield, AL 35064-1826 | 2006-08-31 |
| 1467567206 | Everest Healthcare Ohio, Inc. | Clinic/Center | 4750 Dixie Hwy, Fairfield, OH 45014-1848 | 2006-08-20 |
| 1720042096 | Dva Healthcare Southwest Ohio LLC | Clinic/Center | 1210 Hicks Blvd, Fairfield, OH 45014-1921 | 2006-04-13 |
| 1477018810 | Bullock Dialysis LLC | Clinic/Center | 1210 Hicks Blvd, Fairfield, OH 45014-1921 | 2019-02-08 |
| Find all providers in FAIRFIELD | ||||
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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.