SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC (NPI# 1265615934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265615934 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC |
| Other Organization Name | MOUNTAIN VISTA DIALYSIS CENTER OF ARIZONA |
| Practice Address |
10238 E Hampton Ave Ste 108 Mesa AZ 85209-3317 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4803578009 |
| Practice Fax Number | 4803570372 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2018-12-17 |
| 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 |
OTC-4509 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 417208 | 05 |
| Other Name | Type Code |
|---|---|
| Mountain Vista Dialysis Center of Arizona | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
| 1770714701 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 975 W Chandler Heights Rd, Unit 101, Chandler, AZ 85248-5724 | 2009-08-08 |
| 1770758526 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 4845 W Mcdowell Rd, Ste 10a, 20a, 30a, Phoenix, AZ 85035-4076 | 2008-04-23 |
| 1164948121 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 1521 E Tangerine Rd Ste 101, Oro Valley, AZ 85755-6214 | 2017-08-21 |
| 1821344581 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 301 S Power Rd, Ste 104, Mesa, AZ 85206-5243 | 2012-07-31 |
| 1093071821 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 811 N Tegner St, Suites 101, 103, 105, 107, Wickenburg, AZ 85390-5409 | 2012-04-05 |
| 1700059227 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 1134 E University Dr, Ste 101, Mesa, AZ 85203-8048 | 2008-04-04 |
| 1790969681 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 20325 N 51st Ave, Bldg 11 Ste 184, Glendale, AZ 85308-5674 | 2007-12-27 |
| 1578746277 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 2149 E Warner Rd, Ste 110, Tempe, AZ 85284-3496 | 2007-12-17 |
| 1093998767 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 5222 E Baseline Rd, Ste 104, Gilbert, AZ 85234-2963 | 2007-12-17 |
| Street Address |
10238 E HAMPTON AVE STE 108 |
| City | MESA |
| State | AZ |
| Zip Code | 85209-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494551 | Santina Carminati Taddei | Internal Medicine | 10238 E Hampton Ave, Suite 305, Mesa, AZ 85209-3316 | 2005-08-11 |
| 1932749546 | Physician Group of Arizona Inc | Orthopaedic Surgery | 10238 E Hampton Ave, Suite 301-a, Mesa, AZ 85209-3322 | 2020-01-11 |
| 1154874790 | Carissa Noriega | Nurse Practitioner | 10238 E Hampton Ave, #507, Mesa, AZ 85209-3316 | 2016-08-01 |
| 1336500198 | Mountain Vista Medical Group Pllc | Specialist | 10238 E Hampton Ave, Suite 205, Mesa, AZ 85209 | 2016-03-08 |
| 1750789079 | Jasmine Turner | Nurse Practitioner | 10238 E Hampton Ave, 508, Mesa, AZ 85209-3316 | 2014-12-18 |
| 1881012144 | Arizona Hospital Specialists, Pllc | Family Medicine | 10238 E Hampton Ave, 205, Mesa, AZ 85209-3316 | 2014-04-03 |
| 1033543749 | Akdhc, LLC | Internal Medicine | 10238 E Hampton Ave, Suite 504, Mesa, AZ 85209-3316 | 2013-08-29 |
| 1134473838 | East Valley Medical Group, Inc. | General Practice | 10238 E Hampton Ave, Suite 212, Mesa, AZ 85209-3316 | 2012-11-01 |
| 1164775698 | Arizona Gastro Care | Internal Medicine | 10238 E Hampton Ave, #305, Mesa, AZ 85209-3316 | 2012-10-22 |
| 1265716344 | Jaclyn Bacon | Nurse Practitioner | 10238 E Hampton Ave, Suite 202, Mesa, AZ 85209-3316 | 2011-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| 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 |
|---|---|---|---|---|
| 1346436532 | Southwest Kidney Dialysis, LLC | Clinic/Center | 10238 E. Hampton Avenue, Suite 108, Mesa, AZ 85209 | 2007-09-20 |
| 1124130927 | Renal Care Group Arizona, LLC | Clinic/Center | 135 S Power Rd, Suite 103, Mesa, AZ 85206-5245 | 2006-08-31 |
| 1841302742 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1211 N Country Club Dr Ste 4, Mesa, AZ 85201-2545 | 2006-08-31 |
| 1639118714 | Renal Care Group Arizona, LLC | Clinic/Center | 11540 East University Dr, Suite 109, Mesa, AZ 85207 | 2006-06-05 |
| 1033164066 | Dsi Renal Inc | Clinic/Center | 2620 W Broadway, Mesa, AZ 85202-1071 | 2006-05-25 |
| 1285689604 | Dsi Renal Inc | Clinic/Center | 1337 S Gilbert Rd, Suite 109, Mesa, AZ 85204-6073 | 2006-05-24 |
| 1821344581 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 301 S Power Rd, Ste 104, Mesa, AZ 85206-5243 | 2012-07-31 |
| 1528341070 | Dialysis Newco Inc | Clinic/Center | 1337 S Gilbert Rd, Suite 109, Mesa, AZ 85204-6073 | 2011-09-21 |
| 1093098550 | Dialysis Newco Inc | Clinic/Center | 1457 W Southern Ave, Suite D-19, Mesa, AZ 85202-4813 | 2011-09-21 |
| 1700059227 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 1134 E University Dr, Ste 101, Mesa, AZ 85203-8048 | 2008-04-04 |
| Find all providers in MESA | ||||
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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.