RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC (NPI# 1508930801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508930801 |
| Entity Type | Organization |
| Organization Name | RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC |
| Other Organization Name | RAI-SECRET RAVINE PARKWAY-ROSEVILLE |
| Practice Address |
1451 Secret Ravine Pkwy Building D, Suite 130 Roseville CA 95661-4051 |
| Practice Telephone | 9167734000 |
| Practice Fax Number | 9167737101 |
| Mailing Telephone | 9167734000 |
| Mailing Fax Number | 9167737101 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | MR. MARK R FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 | BLUE CROSS OF CALIFORNIA | 552540 | 01 |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZR0197Z | 01 |
| CA | CDC52540G | 05 | |
| CA | KAISER | 03 | 01 |
| Other Name | Type Code |
|---|---|
| RAI-Secret Ravine Parkway-Roseville | Other Name - Individual/Organization |
| 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 |
| 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 |
| 1497829790 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 490 Chadbourne Rd, Fairfield, CA 94534-9613 | 2006-11-20 |
| Street Address |
1451 SECRET RAVINE PKWY BUILDING D, SUITE 130 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174565485 | Elaine Therese Van Gundy | Specialist | 1451 Secret Ravine Pkwy, Suite 150, Roseville, CA 95661-4051 | 2006-06-12 |
| 1053565283 | Donna R. Chipps | Nurse Practitioner | 1451 Secret Ravine Pkwy, Suite 150, Roseville, CA 95661-6052 | 2008-11-14 |
| 1912919689 | Myrza R Perez | Allergy & Immunology | 1451 Secret Ravine Pkwy, Suite 150, Roseville, CA 95661-4051 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1710383070 | Bio-medical Applications of California, Inc. | Clinic/Center | 1474 Stone Point Dr Ste 105, Roseville, CA 95661-2885 | 2014-11-14 |
| 1942625132 | Weldon Dialysis LLC | Clinic/Center | 1836 Sierra Gardens Dr, Ste 150, Roseville, CA 95661-2943 | 2014-02-25 |
| 1083788327 | Rai Care Centers of Northern California I, LLC | Clinic/Center | 1781 Santa Clara Dr., Roseville, CA 95661 | 2006-11-20 |
| 1437264272 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 2045 Rice St, Roseville, MN 55113-6807 | 2006-08-20 |
| 1255701041 | Total Renal Care Inc | Clinic/Center | 1739 Lexington Ave N, Roseville, MN 55113-6522 | 2015-10-06 |
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| 1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1659997112 | Arbela Dialysis LLC | Clinic/Center | 900 Huntington Dr Ste B, San Marino, CA 91108-1825 | 2020-06-22 |
| 1275158487 | Cudahy Peritoneal Dialysis Center | Clinic/Center | 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 | 2020-06-12 |
| 1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
| 1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
| 1790308179 | Palo Dialysis LLC | Clinic/Center | 10211 Long Beach Road, Lynwood, CA 90262-1508 | 2020-05-20 |
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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.