ETTLETON DIALYSIS LLC (NPI# 1457853459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457853459 |
| Entity Type | Organization |
| Organization Name | ETTLETON DIALYSIS LLC |
| Other Organization Name | MILPITAS DIALYSIS |
| Practice Address |
660 E Calaveras Blvd Milpitas CA 95035-5442 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4089468340 |
| Practice Fax Number | 4089456549 |
| Mailing Telephone | 6153415895 |
| Mailing Fax Number | 8668905560 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
|---|---|
| Milpitas Dialysis | Doing Business As Name - Organization |
| Street Address |
660 E CALAVERAS BLVD |
| City | MILPITAS |
| State | CA |
| Zip Code | 95035-5442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245700863 | Deisy Partida Aguilar | Behavior Technician | 1401 Parkmoor Ave Suite 208, San Jose, CA 95035 | 2018-11-26 |
| 1114410669 | Yi Zhou | Acupuncturist | 226 Greentree Way, Milpitas, CA 95035 | 2018-06-10 |
| 1275031734 | Forever Health | Chiropractor | 1611a S Main St, Milpitas, CA 95035 | 2018-01-30 |
| 1285155523 | Pearl Wellness LLC | Acupuncturist | 182 S. Main St., Milpitas, CA 95035 | 2017-06-27 |
| 1639609258 | Jane Kenneth Estoesta Zarate | Dentist | 1547 Kennedy Drive, Milpitas, CA 95035 | 2017-06-15 |
| 1033648498 | Emily Nguyen | Assistant Behavior Analyst | 1603a S. Main Street, Milpitas, CA 95035 | 2017-06-08 |
| 1548663255 | Long Tuan Ngo | Pharmacist | 342 W. Calaveras Blvd, Milpitas, CA 95035 | 2014-10-08 |
| 1417357930 | Maichi Nguyen Sr. | Pharmacist | 301 Ranch Dr., Milpitas, CA 95035 | 2014-09-03 |
| 1447650551 | Abode Services | Case Management | 481 Valley Way, Milpitas, CA 95035 | 2014-08-26 |
| 1104257484 | Bruce Joseph Chester | Chiropractor | 545 Los Coches St Ste 104, Milpitas, CA 95035 | 2013-12-11 |
| Find all providers in zip 95035 | ||||
| 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 |
|---|---|---|---|---|
| 1821107590 | Satellite Healthcare Inc | Clinic/Center | 1860 Milmont Dr, Milpitas, CA 95035-2512 | 2006-08-29 |
| 1962457267 | Wellbound of Milpitas LLC | Clinic/Center | 1850 Milmont Dr, Milpitas, CA 95035-2512 | 2006-05-24 |
| 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 ETTLETON 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.