SKAGIT DIALYSIS LLC (NPI# 1104187202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104187202 |
| Entity Type | Organization |
| Organization Name | SKAGIT DIALYSIS LLC |
| Other Organization Name | SILICON VALLEY DIALYSIS |
| Practice Address |
725 Ridder Park Dr Ste 10 San Jose CA 95131-2431 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4083920390 |
| Practice Fax Number | 4083920405 |
| Mailing Telephone | 6153416793 |
| Mailing Fax Number | 8777902174 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 | 1104187202 | 05 |
| Other Name | Type Code |
|---|---|
| Silicon Valley Dialysis | Doing Business As Name - Organization |
| Street Address |
725 RIDDER PARK DR STE 10 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95131-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427319524 | Priday Dialysis LLC | Clinic/Center | 725 Ridder Park Dr, Ste 50, San Jose, CA 95131-2431 | 2012-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
| 1194373340 | Leylard Santos Caballes | Home Health Aide | 2272 Zoria Circle, San Jose, CA 95131 | 2019-08-30 |
| 1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
| 1316417900 | Peter Cellarius | Behavior Technician | 2010 N. First St. Ste 402, San Jose, CA 95131 | 2018-11-27 |
| 1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
| 1972984649 | Maria De La Luz Gonzalez | Counselor | 1885 Lundy Ave. Suite 223, San Jose, CA 95131 | 2015-06-17 |
| 1720470412 | Bridget Martinez | Physical Therapist | 1172 Murphy Ave #227, San Jose, CA 95131 | 2015-03-04 |
| 1609275593 | Cheryl Lozano | Community Health Worker | 1885 Lundy Ave, Ste 223, San Jose, CA 95131 | 2014-08-18 |
| Find all providers in zip 95131 | ||||
| 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 |
|---|---|---|---|---|
| 1134612468 | Kaiser Foundation Hospitals | Clinic/Center | 1721 Technology Dr Ste 245, San Jose, CA 95110-1305 | 2018-06-12 |
| 1992204481 | Satellite Dialysis of White Road LLC | Clinic/Center | 3251 S White Rd Ste 10, San Jose, CA 95148-4056 | 2018-02-09 |
| 1427572908 | Toulouse Dialysis LLC | Clinic/Center | 3501 E Capitol Expy, San Jose, CA 95122-1024 | 2017-07-27 |
| 1306299391 | Satellite Healthcare Inc | Clinic/Center | 1450 Kooser Road, San Jose, CA 95118 | 2016-07-14 |
| 1114347473 | Satellite Healthcare Inc | Clinic/Center | 4360 Stevens Creek Blvd, Suite A, San Jose, CA 95129-1103 | 2014-04-24 |
| 1972927960 | Satellite Healthcare San Jose LLC | Clinic/Center | 888 S Bascom Ave, San Jose, CA 95128-2605 | 2014-02-11 |
| 1457797474 | Clover Dialysis LLC | Clinic/Center | 275 Di Salvo Ave, San Jose, CA 95128-1628 | 2013-05-16 |
| 1154668184 | Total Renal Care Inc | Clinic/Center | 1290 Tully Rd, Ste 80, San Jose, CA 95122-3069 | 2013-01-10 |
| 1386882934 | Total Renal Care Inc | Clinic/Center | 3162 S White Rd, Ste 100, San Jose, CA 95148-4019 | 2009-02-04 |
| 1578724761 | Satellite Healthcare Inc | Clinic/Center | 7019 Realm Dr, San Jose, CA 95119-1321 | 2008-06-19 |
| Find all providers in SAN JOSE | ||||
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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.