DVA HEALTHCARE RENAL CARE INC (NPI# 1881668234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881668234 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | DALY CITY DIALYSIS |
| Practice Address |
1498 Southgate Ave Ste 101 Daly City CA 94015-4015 |
| Mailing Address |
5200 Virginia Way L&c Dept 4th Fl Brentwood TN 37027-7569 |
| Practice Telephone | 6507554751 |
| Practice Fax Number | 6507550356 |
| Mailing Telephone | 6153415895 |
| Mailing Fax Number | 8668905560 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2019-05-06 |
| 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 |
140000620 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1881668234 | 05 |
| Other Name | Type Code |
|---|---|
| Daly City 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 |
1498 SOUTHGATE AVE STE 101 |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194162859 | Ruth Reyes Ramos | Nurse Practitioner | 1498 Southgate Ave, Suite 102, Daly City, CA 94015-4015 | 2013-06-03 |
| 1508163213 | Zerina Bangawan | Nurse Practitioner | 1498 Southgate Ave, Daly City, CA 94015-4015 | 2011-02-15 |
| 1023182227 | Christian Cosca Cruz | Internal Medicine | 1498 Southgate Ave, Suite 102, Daly City, CA 94015-4015 | 2006-11-20 |
| 1225099286 | Albert C Kao | Internal Medicine | 1498 Southgate Ave, Suite 102, Daly City, CA 94015-4015 | 2006-03-30 |
| 1760443725 | Philip Hertz | Internal Medicine | 1498 Southgate Ave, Suite 102, Daly City, CA 94015 | 2006-03-30 |
| 1053371559 | Robert Ra Nien Tseng | Internal Medicine | 1498 Southgate Ave, Ste 102, Daly City, CA 94015 | 2006-03-27 |
| 1083674550 | Warren Chang | Internal Medicine | 1498 Southgate Ave, Suite 102, Daly City, CA 94015-4015 | 2006-03-27 |
| 1336117829 | West Bay Nephrology Associates | Internal Medicine | 1498 Southgate Ave, Suite 102, Daly City, CA 94015 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| 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 |
|---|---|---|---|---|
| 1972741999 | Total Renal Care Inc | Clinic/Center | 2201 Junipero Serra Blvd Ste A, Daly City, CA 94014-1908 | 2009-01-29 |
| 1649542192 | Satellite Healthcare of North San Mateo County, LLC | Clinic/Center | 2001 Junipero Serra Blvd, Suite 100, Daly City, CA 94014-3891 | 2012-01-30 |
| 1417229022 | Wellbound of Menlo Park LLC | Clinic/Center | 2001 Junipero Serra Blvd, Suite 535, Daly City, CA 94014-3891 | 2012-01-30 |
| 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 | ||||
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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.