SAN DIEGO DIALYSIS SERVICES, INC. (NPI# 1417069212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417069212 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO DIALYSIS SERVICES, INC. |
| Other Organization Name | FMC DIALYSIS SERVICES OF COLLEGE |
| Practice Address |
5961 University Ave Ste 317 San Diego CA 92115-6300 |
| Practice Telephone | 6192299654 |
| Practice Fax Number | 6192860821 |
| Mailing Telephone | 6192299654 |
| Mailing Fax Number | 6192860821 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | JAMES DIVITO (VICE PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 |
|---|---|
| FMC DIALYSIS SERVICES OF COLLEGE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4660 El Cajon Blvd, #110, San Diego, CA 921154465 | 6195164803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700988128 | San Diego Dialysis Services, Inc. | Clinic/Center | 663 33rd St, San Diego, CA 92102-3300 | 2006-09-05 |
| 1619079035 | San Diego Dialysis Services, Inc. | Clinic/Center | 3010 Del Sol Blvd, San Diego, CA 92154-3475 | 2006-09-05 |
| 1740392547 | San Diego Dialysis Services, Inc. | Clinic/Center | 3960 3rd Ave, San Diego, CA 92103-3003 | 2006-08-31 |
| 1003928805 | San Diego Dialysis Services, Inc. | Clinic/Center | 570 N 2nd St, El Cajon, CA 92021-6448 | 2006-08-31 |
| 1477665271 | San Diego Dialysis Services, Inc. | Clinic/Center | 2252 Verus St, San Diego, CA 92154-4707 | 2006-08-31 |
| 1659483451 | San Diego Dialysis Services, Inc. | Clinic/Center | 303 W 26th St, National City, CA 91950-6615 | 2006-08-31 |
| 1194837997 | San Diego Dialysis Services, Inc. | Clinic/Center | 5995 Severin Dr, La Mesa, CA 91942-3806 | 2006-08-31 |
| 1568574366 | San Diego Dialysis Services, Inc. | Clinic/Center | 7927 Ostrow St Ste A, Suite A, San Diego, CA 92111-3604 | 2006-08-31 |
| 1386756187 | San Diego Dialysis Services, Inc. | Clinic/Center | 720 Gateway Center Dr, Suite B, San Diego, CA 92102-4549 | 2006-08-31 |
| 1508978305 | San Diego Dialysis Services, Inc. | Clinic/Center | 6919 Paradise Valley Rd, San Diego, CA 92139-1225 | 2006-08-31 |
| Street Address |
5961 UNIVERSITY AVE STE 317 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316409865 | Fresenius Medical Care Balboa V, LLC | Clinic/Center | 5961 University Ave Ste 317, San Diego, CA 92115-6300 | 2019-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| 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 |
|---|---|---|---|---|
| 1366834285 | Bio-medical Applications of California, Inc. | Clinic/Center | 499 Raven St, San Diego, CA 92102-4525 | 2015-03-02 |
| 1376784389 | Fresenius Medical Care Balboa, LLC | Clinic/Center | 7927 Ostrow St, Suite A, San Diego, CA 92111-3604 | 2009-03-20 |
| 1053443101 | Bio-medical Applications of California, Inc. | Clinic/Center | 4765 Carmel Mountain Rd Ste 100, San Diego, CA 92130-6657 | 2007-03-12 |
| 1114091840 | Rai Care Centers of Southern California II, LLC | Clinic/Center | 7007 Mission Gorge Rd, Suite A, San Diego, CA 92120-2418 | 2006-11-17 |
| 1700988128 | San Diego Dialysis Services, Inc. | Clinic/Center | 663 33rd St, San Diego, CA 92102-3300 | 2006-09-05 |
| 1619079035 | San Diego Dialysis Services, Inc. | Clinic/Center | 3010 Del Sol Blvd, San Diego, CA 92154-3475 | 2006-09-05 |
| 1740392547 | San Diego Dialysis Services, Inc. | Clinic/Center | 3960 3rd Ave, San Diego, CA 92103-3003 | 2006-08-31 |
| 1477665271 | San Diego Dialysis Services, Inc. | Clinic/Center | 2252 Verus St, San Diego, CA 92154-4707 | 2006-08-31 |
| 1568574366 | San Diego Dialysis Services, Inc. | Clinic/Center | 7927 Ostrow St Ste A, Suite A, San Diego, CA 92111-3604 | 2006-08-31 |
| 1386756187 | San Diego Dialysis Services, Inc. | Clinic/Center | 720 Gateway Center Dr, Suite B, San Diego, CA 92102-4549 | 2006-08-31 |
| Find all providers in SAN DIEGO | ||||
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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.