SAN DIEGO DIALYSIS SERVICES, INC. (NPI# 1508978305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508978305 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO DIALYSIS SERVICES, INC. |
| Other Organization Name | FMC DIALYSIS SERVICES OF PARADISE |
| Practice Address |
6919 Paradise Valley Rd San Diego CA 92139-1225 |
| Practice Telephone | 6194752872 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-01-15 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| 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 PARADISE | Doing Business As Name - Organization |
| 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 |
| 1417069212 | San Diego Dialysis Services, Inc. | Clinic/Center | 5961 University Ave Ste 317, San Diego, CA 92115-6300 | 2006-08-31 |
| Street Address |
6919 PARADISE VALLEY RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92139-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831621689 | Paige Tetreau | Prevention Professional | 2367 Morningside St, San Diego, CA 92139 | 2017-03-31 |
| 1881030310 | Brandon Christopher Jackson | Military Health Care Provider | 6810 Camphor Ln, San Diego, CA 92139 | 2013-05-10 |
| 1720316532 | Jacobi Medical Center | General Acute Care Hospital | 6861 Potomac Street, 57, San Diego, CA 92139 | 2009-12-07 |
| 1083862296 | Jennie C Bilbes | Registered Nurse | 6860 Bear Rier Row, Unit #1, San Diego, CA 92139 | 2008-08-29 |
| 1104033018 | Shanon Star Murillo | Internal Medicine | 2401 Reo Drive, San Diego, CA 92139 | 2007-05-17 |
| 1851378236 | Iyabo O Daramola | Internal Medicine | 2401 Reo Dr, San Diego, CA 92139 | 2005-12-28 |
| 1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
| 1134580913 | Emilio Casenave | Military Health Care Provider | 6031 Sandy Shore Ct, San Diego, CA 92139-1014 | 2016-03-08 |
| 1689934879 | Neil Allen Regero Nucup | Military Health Care Provider | 1802 Rocky Shore Rd, San Diego, CA 92139-1017 | 2012-05-21 |
| 1568855880 | Jameson Basa | Military Health Care Provider | 1976 Sky Harbor Rd, San Diego, CA 92139-1023 | 2015-03-11 |
| Find all providers in zip 92139 | ||||
| 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.