RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC


Address: 490 Chadbourne Rd, Fairfield, CA 94534-9613
Phone: 7074349088

RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC (NPI# 1497829790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497829790
Entity Type Organization
Organization Name RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC
Other Organization Name RAI-CHADBOURNE-FAIRFIELD
Practice Address 490 Chadbourne Rd
Fairfield
CA 94534-9613
Practice Telephone 7074349088
Practice Fax Number 7074349101
Mailing Telephone 7074349088
Mailing Fax Number 7074349101
Enumeration Date 2006-11-20
Last Update Date 2012-07-27
Authorized Official Name MR. MARK R FAWCETT (TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CA CDC52522G 05
CA BLUE SHIELD OF CALIFORNIA ZZZR0193Z 01
CA KAISER 06 01
CA BLUE CROSS OF CALIFORNIA 552522 01

Other Provider/Organization Names

Other Name Type Code
RAI-Chadbourne-Fairfield Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083788327 Rai Care Centers of Northern California I, LLC Clinic/Center 1781 Santa Clara Dr., Roseville, CA 95661 2006-11-20
1063586394 Rai Care Centers of Northern California I, LLC Clinic/Center 3115 West March Lane, Stockton, CA 95219-2372 2006-11-20
1164596490 Rai Care Centers of Northern California I, LLC Clinic/Center 3011 Ceres Ave, Suite 125, Chico, CA 95973-7898 2006-11-20
1508930801 Rai Care Centers of Northern California I, LLC Clinic/Center 1451 Secret Ravine Pkwy, Building D, Suite 130, Roseville, CA 95661-4051 2006-11-20
1346314648 Rai Care Centers of Northern California I, LLC Clinic/Center 8139 Elk Grove Blvd, Suite 200, Elk Grove, CA 95758-5519 2006-11-20
1669546990 Rai Care Centers of Northern California I, LLC Clinic/Center 2350 N California St, Stockton, CA 95204-5506 2006-11-20

Office Location

Street Address 490 CHADBOURNE RD
City FAIRFIELD
State CA
Zip Code 94534-9613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043279201 Myrha Ohayon Social Worker 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 2006-03-17
1366847626 Kelli Forrester Counselor 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 2014-10-29
1700217908 Tiffany Lopez Solis Counselor 490 Chadbourne Rd, Fairfield, CA 94534-9613 2013-12-12
1972930485 Tessa Searles Social Worker 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 2013-09-28
1245665561 Carol Louise Breiling Counselor 490 Chadbourne Rd, Suite C, Fairfield, CA 94534-9613 2013-09-05
1174956692 Katherine Andrea Morales Community Health Worker 490 Chadbourne Rd, Fairfield, CA 94534-9613 2013-08-20
1720424351 Children's Nurturing Project Community/Behavioral Health 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 2013-05-22
1801175237 Karen Lynn Cunningham Counselor 490 Chadbourne Rd, Fairfield, CA 94534-9613 2011-08-16
1588942163 Rosana M Aguilar Counselor 490 Chadbourne Rd, Suite A, Fairfield, CA 94534-9613 2011-07-29
1083902480 Rita Mccampbell Counselor 490 Chadbourne Rd, Fairfield, CA 94534-9613 2011-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558922187 Solano County Superintendent of Schools Marriage & Family Therapist 5100 Business Center Drive, Fairfield, CA 94534 2019-06-25
1205312436 John Will Hubbard Iv Behavioral Analyst 3426 Glen Ellen Dr, Fairfield, CA 94534 2018-07-11
1508358003 Advent Healthcare Services LLC Hospice Care, Community Based 1300 Oliver Rd Ste 350, Fairfield, CA 94534 2018-05-31
1447770268 Nicole Valentine Social Worker 1300 Oliver Rd., 193, Fairfield, CA 94534 2017-06-22
1700339843 Lap of Love Point of Service 3286 Inwood Place, Fairfield, CA 94534 2016-07-25
1013398577 Paul Severino Bright Marriage & Family Therapist 1771 Barton Dr, Fairfield, CA 94534 2015-06-10
1376920264 Darshan Patel Internal Medicine 4520 Business Center Dr, Fairfield, CA 94534 2015-04-30
1972906048 Kathleen Therese Omeara Psychologist 4416 Starflower Ct., Fairfield, CA 94534 2014-10-03
1689090391 Solano Diagnostics Imaging Medical Group Radiology 4500 Business Center Drive, Fairfield, CA 94534 2014-03-06
1174953368 Alice Lane Therrell Registered Nurse 4160 Suisun Valley Rd #132, Fairfield, CA 94534 2013-11-25
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1942622311 Goza Dialysis LLC Clinic/Center 3825 Kraus Ln Ste S, Fairfield, OH 45014-5867 2014-01-20
1902228513 Dialysis Clinic Inc Clinic/Center 205 Ridge Rd, Fairfield, ME 04937-3376 2014-01-16
1790106300 Harmony Dialysis LLC Clinic/Center 1800 N Texas Street, Fairfield, CA 94533-4441 2013-12-27
1558524512 Total Renal Care Inc Clinic/Center 427 Stillson Rd, Fairfield, CT 06824-3153 2008-07-09
1144490178 Southeastern Renal Dialysis L.c. Clinic/Center 2000 A S Main St, Fairfield, IA 52556 2008-03-05
1073796421 Liberty Dialysis - Fairfield LLC Clinic/Center 500 Kings Hwy, Fairfield, CT 06825-4847 2007-12-07
1457463291 Nna of Alabama, Inc. Clinic/Center 6508 Ej Oliver Blvd, Fairfield, AL 35064-1826 2006-08-31
1467567206 Everest Healthcare Ohio, Inc. Clinic/Center 4750 Dixie Hwy, Fairfield, OH 45014-1848 2006-08-20
1720042096 Dva Healthcare Southwest Ohio LLC Clinic/Center 1210 Hicks Blvd, Fairfield, OH 45014-1921 2006-04-13
1396704771 Renal Treatment Centers California Inc Clinic/Center 4660 Central Way, Fairfield, CA 94534-1803 2006-03-22
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Competitor

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City FAIRFIELD
Zip Code 94534

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Dataset Information

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.

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