GRIFFIN DIALYSIS LLC (NPI# 1093030504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093030504 |
Entity Type | Organization |
Organization Name | GRIFFIN DIALYSIS LLC |
Other Organization Name | CALVINE DIALYSIS |
Practice Address |
8243 E Stockton Blvd Ste 100 Sacramento CA 95828-8204 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 9166826655 |
Practice Fax Number | 9166826554 |
Mailing Telephone | 6153416765 |
Mailing Fax Number | 8337829089 |
Enumeration Date | 2010-03-29 |
Last Update Date | 2019-03-20 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1093030504 | 05 |
Other Name | Type Code |
---|---|
Calvine Dialysis | Doing Business As Name - Organization |
Street Address |
8243 E STOCKTON BLVD STE 100 |
City | SACRAMENTO |
State | CA |
Zip Code | 95828-8204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497274047 | Valeria Sarmienta | Behavior Technician | 7805 Dalewoods Way, Sacramento, CA 95828 | 2017-09-14 |
1336661990 | Araceli Cantiller | Nursing Home Administrator | 8006 Bucks Harbor, Sacramento, CA 95828 | 2017-07-14 |
1528515020 | Penelope Mach | Nutritionist | 8233 E. Stockton Blvd, Sacramento, CA 95828 | 2016-09-01 |
1902196405 | Imelda Eileen Pahlas Moore | Social Worker | 8325 Boron Way, Sacramento, CA 95828 | 2011-04-18 |
1356678015 | Gray Construction Vand Securment Services - Ez Lift Accessibility Prod | Durable Medical Equipment & Medical Supplies | 8136 # A Junipero Street, Sacramento, CA 95828 | 2009-11-17 |
1982861431 | Hung Q. Le Dds. Inc | Preferred Provider Organization | 8021 Florin Rd, Sacramento, CA 95828 | 2008-05-21 |
1245419910 | Anna Shalnev | Licensed Vocational Nurse | 7016 Forman Way, Sacramento, CA 95828 | 2007-10-30 |
1548325004 | Sierra Vista Hospital | Psychiatry & Neurology | 8250 Calvine Rd, Ste C165, Sacramento, CA 95828 | 2006-12-26 |
1386709798 | River City Transportation Service | Non-emergency Medical Transport (VAN) | 8155 Derbyshire Circle, Sacramento, CA 95828 | 2006-12-26 |
1225059595 | Leslie H. Bess | Social Worker | 8247 E Stockton Blvd, Sacramento, CA 95828 | 2006-07-22 |
Find all providers in zip 95828 |
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 |
---|---|---|---|---|
1871128173 | Dialysis Clinic Inc | Clinic/Center | 1955 36th St, Sacramento, CA 95816-6634 | 2020-03-06 |
1780173724 | Wellbound of Emeryville LLC | Clinic/Center | 3 Park Center Dr Ste 120, Sacramento, CA 95825 | 2018-05-04 |
1235642950 | Regents of The University of California | Clinic/Center | 2521 Stockton Blvd Ste 2200, Sacramento, CA 95817-2207 | 2017-11-16 |
1841741857 | Landor Dialysis LLC | Clinic/Center | 2980 Advantage Way, Sacramento, CA 95834-9666 | 2016-10-14 |
1033584248 | Lyndale Dialysis LLC | Clinic/Center | 4401 Mack Rd, Sacramento, CA 95823-4545 | 2015-12-14 |
1568847929 | Glosser Dialysis LLC | Clinic/Center | 2624 Stockton Blvd, Sacramento, CA 95817-2210 | 2015-07-28 |
1477807139 | Dialysis Clinic Inc. | Clinic/Center | 1545 Meadowview Rd, Suites 130 - 180, Sacramento, CA 95832-1081 | 2012-11-02 |
1790051761 | Satellite Healthcare Inc | Clinic/Center | 646 N Market Blvd, Sacramento, CA 95834-1248 | 2012-03-23 |
1427322411 | Goliad Dialysis LLC | Clinic/Center | 251 Lathrop Way, Ste A, Sacramento, CA 95815-4223 | 2012-03-08 |
1184906745 | Rai Care Centers of Northern California I LLC | Clinic/Center | 4660 Mack Rd, Suite 168, Sacramento, CA 95823-8200 | 2011-09-09 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95828 |
Please comment or provide details below to improve the information on GRIFFIN 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.