SAN DIEGO DIALYSIS SERVICES (NPI# 1447310842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447310842 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO DIALYSIS SERVICES |
| Other Organization Name | SAN DIEGO HOME PROGRAM |
| Practice Address |
7907 Ostrow St Suite B San Diego CA 92111-3635 |
| Practice Telephone | 8585710428 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| 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 |
|---|---|
| SAN DIEGO HOME PROGRAM | Doing Business As Name - Organization |
| Street Address |
7907 OSTROW ST SUITE B |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043329683 | Kristin Parsley | Specialist | 7907 Ostrow St, Ste D, San Diego, CA 92111-3635 | 2006-08-29 |
| 1861002040 | Austin Ice | Student in an Organized Health Care Education/Training Program | 7907 Ostrow St, San Diego, CA 92111-3635 | 2020-08-03 |
| 1619586245 | Ruby Lara | Counselor | 7907 Ostrow St, San Diego, CA 92111-3635 | 2020-07-29 |
| 1639657356 | Jose Crisstian Valadez | Case Manager/Care Coordinator | 7907 Ostrow St, San Diego, CA 92111-3635 | 2018-08-03 |
| 1023510773 | Marc Nathan Sherman | Student in an Organized Health Care Education/Training Program | 7907 Ostrow St, San Diego, CA 92111-3635 | 2018-03-07 |
| 1073038402 | Monica Siojo | Licensed Vocational Nurse | 7907 Ostrow St, Suite F, San Diego, CA 92111 | 2017-08-07 |
| 1255872008 | Heriberto Fuentes Cervantes | Case Manager/Care Coordinator | 7907 Ostrow St, #f, San Diego, CA 92111-3635 | 2017-03-13 |
| 1538608286 | Keri Sebourn | Marriage & Family Therapist | 7907 Ostrow St, Ste F, San Diego, CA 92111 | 2017-02-14 |
| 1508311002 | Mayte O'neal | Licensed Vocational Nurse | 7907 Ostrow St, Suite F, San Diego, CA 92111-3635 | 2016-08-24 |
| 1851743769 | Jonathan Mindas | Counselor | 7907 Ostrow St, Suite F, San Diego, CA 92111-3635 | 2016-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
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| 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 |
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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.