DVA HEALTHCARE RENAL CARE INC (NPI# 1851365852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851365852 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | FRESNO DIALYSIS |
| Practice Address |
4753 W Shaw Ave Ste 101 Fresno CA 93722-6218 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 5592773070 |
| Practice Fax Number | 5592764261 |
| Mailing Telephone | 6153416765 |
| Mailing Fax Number | 8337829089 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-04-24 |
| 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 |
240000782 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1851365852 | 05 |
| Other Name | Type Code |
|---|---|
| Fresno Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
| 1639695984 | Dva Healthcare Renal Care Inc | Clinic/Center | 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2017-08-18 |
| 1710351531 | Dva Healthcare Renal Care Inc | Clinic/Center | 101 Davita Ln, Elizabeth City, NC 27909-3314 | 2015-11-17 |
| 1851769848 | Dva Healthcare Renal Care Inc | Clinic/Center | 9622 Kincey Ave, Huntersville, NC 28078-9140 | 2015-09-08 |
| 1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
| 1205116167 | Dva Healthcare Renal Care Inc | Clinic/Center | 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 | 2011-08-24 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
| 1700815487 | Dva Healthcare Renal Care Inc | Clinic/Center | 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 | 2006-07-03 |
| 1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
4753 W SHAW AVE STE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-6218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174804959 | Patch Dialysis LLC | Clinic/Center | 4753 W Shaw Ave, Fresno, CA 93722-6209 | 2011-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| 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 |
|---|---|---|---|---|
| 1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
| 1942784541 | Fresenius Medical Care Fresno North Home, LLC | Clinic/Center | 6733 N Willow Ave Ste 101, Fresno, CA 93710-5953 | 2018-09-19 |
| 1235677832 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 1899 N Helm Ave, Suite 102, Fresno, CA 93727-1612 | 2017-02-03 |
| 1669840146 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 1899 N Helm Ave Ste 101, Fresno, CA 93727-1612 | 2015-09-14 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| 1669717039 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 6737 N Willow Ave, Bldg C, Fresno, CA 93710-5954 | 2012-12-11 |
| 1649515115 | Fresenius Medical Care Fresno, LLC | Clinic/Center | 3036 North 1st St., Suite 144, Fresno, CA 93726-6818 | 2012-12-10 |
| 1659647808 | South Fork Dialysis LLC | Clinic/Center | 560 E Herndon Ave, Ste 101, Fresno, CA 93720-2907 | 2012-03-31 |
| 1821269069 | Bio-medical Applications of California, Inc. | Clinic/Center | 6737 N Willow Ave Ste 101, Fresno, CA 93710-5954 | 2008-03-16 |
| 1073705018 | Total Renal Care Inc | Clinic/Center | 6121 N Thesta St Ste 102, Fresno, CA 93710-5294 | 2007-08-14 |
| Find all providers in FRESNO | ||||
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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.