SOLANO DIALYSIS ACCESS CENTER, A PROFESSIONAL CORPORATION. (NPI# 1114119500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114119500 |
| Entity Type | Organization |
| Organization Name | SOLANO DIALYSIS ACCESS CENTER, A PROFESSIONAL CORPORATION. |
| Practice Address |
127 Hospital Dr Ste 102 Vallejo CA 94589-2500 |
| Practice Telephone | 7076439010 |
| Practice Fax Number | 7076439011 |
| Mailing Telephone | 7076439010 |
| Mailing Fax Number | 7076439011 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. MARIA PAGTALUNAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5108414525 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL - GROUP | GR0106040 | 01 |
| CA | MEDICARE - GROUP | ZZZ06222Z | 01 |
| Street Address |
127 HOSPITAL DR STE 102 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205297702 | Comprehensive Home Health Care & Hospice, Inc | Home Health | 127 Hospital Dr, Suite 202 B, Vallejo, CA 94589-2500 | 2016-03-10 |
| 1619340205 | Shawne Jabonero Lopes | Acupuncturist | 127 Hospital Dr, #203a, Vallejo, CA 94589-2500 | 2015-11-04 |
| 1194135723 | Ritual Acupuncture Inc | Acupuncturist | 127 Hospital Dr, Suite #203a, Vallejo, CA 94589-2500 | 2014-05-05 |
| 1467898536 | Joel De Vera Moncada | Acupuncturist | 127 Hospital Dr, Suite #203a, Vallejo, CA 94589 | 2013-05-16 |
| 1093081465 | Rachel C Navarra | Physical Therapist | 127 Hospital Dr, Ste 101, Vallejo, CA 94589-2500 | 2012-03-29 |
| 1154645976 | Solano Dac LLC | Internal Medicine | 127 Hospital Dr, Suite 102, Vallejo, CA 94589-2500 | 2010-03-23 |
| 1699907444 | Nina Renee Dunn | Physical Therapist | 127 Hospital Dr, Ste 101, Vallejo, CA 94589-2500 | 2009-08-12 |
| 1932334331 | Radzewill Gagalang | Physical Therapist | 127 Hospital Dr, Suite 101, Vallejo, CA 94589-2500 | 2009-05-28 |
| 1861407538 | Patricia A Ebright | Optometrist | 127 Hospital Dr, Ste 201, Vallejo, CA 94589-2500 | 2006-07-30 |
| 1972536308 | Stephen C Puckett | Optometrist | 127 Hospital Dr, Suite 201, Vallejo, CA 94589-2500 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154645976 | Solano Dac LLC | Internal Medicine | 127 Hospital Dr, Suite 102, Vallejo, CA 94589-2500 | 2010-03-23 |
| 1558449454 | Kar H. Own | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1942388772 | Keyur V. Patel | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1225116056 | Julia R. Krasner | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1841378676 | Maung M. Myint | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1366520108 | Waseem Ahmad | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1174601918 | Hashem S. Dajani | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1184719809 | East Bay Nephrology Medical Group, Inc. | Internal Medicine | 125 Hospital Dr, Vallejo, CA 94589-2562 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
| 1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOLANO DIALYSIS ACCESS CENTER, A PROFESSIONAL CORPORATION..
| 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.