NATOMAS DIALYSIS LLC (NPI# 1154348068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154348068 |
| Entity Type | Organization |
| Organization Name | NATOMAS DIALYSIS LLC |
| Other Organization Name | NATOMAS DIALYSIS |
| Practice Address |
30 Golden Land Ct Bldg G Sacramento CA 95834-2423 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9162856452 |
| Practice Fax Number | 9162859715 |
| Mailing Telephone | 6153416765 |
| Mailing Fax Number | 8337829089 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | JOHN D 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 |
550000393 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1154348068 | 05 |
| Other Name | Type Code |
|---|---|
| Natomas Dialysis | Doing Business As Name - Organization |
| Street Address |
30 GOLDEN LAND CT BLDG G |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95834-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085209 | Yen T Tran | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct Suite 170, Sacramento, CA 95834 | 2018-06-01 |
| 1326557620 | Mariah N Calpo | Registered Nurse | 601 North Market, Sacramento, CA 95834 | 2017-09-29 |
| 1710400700 | Rose Medical Transportation | Driver | 4330 Natomas Central Dr, Sacramento, CA 95834 | 2017-07-20 |
| 1801319066 | Caitlin Janae Lluen | Physical Medicine & Rehabilitation | 1948 Del Paso Road Suite 135, Sacramento, CA 95834 | 2017-07-19 |
| 1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
| 1609322973 | Zachary Estrada | Student in an Organized Health Care Education/Training Program | 3780 Rosic Court, Ste 130, Sacramento, CA 95834 | 2016-08-28 |
| 1104287465 | Mark David Levine, Mbr | Psychiatry & Neurology | 3835 N. Freeway Blvd., Suite 100, Sacramento, CA 95834 | 2016-03-15 |
| 1376902767 | Peter Yang | Case Manager/Care Coordinator | 3870 Rosin Court Ste 130, Sacramento, CA 95834 | 2016-02-15 |
| 1346615739 | Renee Joyce Eckley Reinhardt | Nurse Practitioner | 4100 E Commerce Way Suite 100, Sacramento, CA 95834 | 2015-12-10 |
| 1558779454 | Hanh Tran I | Pharmacist | 3769 Broadland St, Sacramento, CA 95834 | 2014-07-24 |
| Find all providers in zip 95834 | ||||
| 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 | 95834 |
Please comment or provide details below to improve the information on NATOMAS 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.