RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC (NPI# 1558434282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558434282 |
| Entity Type | Organization |
| Organization Name | RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC |
| Other Organization Name | RAI-NORTH WATERMAN-SAN BERNADINO |
| Practice Address |
1500 N Waterman Ave San Bernardino CA 92404-5111 |
| Practice Telephone | 9093811591 |
| Practice Fax Number | 9093841744 |
| Mailing Telephone | 9093811591 |
| Mailing Fax Number | 9093841744 |
| Enumeration Date | 2006-11-17 |
| 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. |
| 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 | CDC70020J | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZR0213Z | 01 |
| CA | BLUE CROSS OF CALIFORNIA | 052575 | 01 |
| Other Name | Type Code |
|---|---|
| RAI-North Waterman-San Bernadino | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821161597 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 17197 Newhope St, Suite A-d, Fountain Valley, CA 92708-4228 | 2006-11-17 |
| 1376616045 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 290 Hospital Cir, Westminster, CA 92683-3950 | 2006-11-17 |
| 1891868519 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 12761 Harbor Blvd, Garden Grove, CA 92840-5800 | 2006-11-17 |
| 1982777686 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 5714 E Olympic Blvd, Los Angeles, CA 90022-5115 | 2006-11-17 |
| 1285707984 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 535 East First Street, Tustin, CA 92780-3312 | 2006-11-17 |
| 1336212059 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 11859 Compton Ave, Los Angeles, CA 90059-2958 | 2006-11-17 |
| 1235202961 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 12555 Garden Grove Blvd, Suite 100, Garden Grove, CA 92843-1902 | 2006-11-17 |
| 1003989732 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 1210 Indiana Ct, Redlands, CA 92374-2896 | 2006-11-17 |
| Street Address |
1500 N WATERMAN AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178692 | Allan G Kavalich | Internal Medicine | 1500 N Waterman Ave, San Bernardino, CA 92404-5111 | 2005-07-20 |
| 1215243340 | Allan G Kavalich Md Inc | Internal Medicine | 1500 N Waterman Ave, San Bernardino, CA 92404-5111 | 2010-08-26 |
| 1366469363 | San Bernardino Valley Home Dialysis Center, Inc. | Clinic/Center | 1500 N Waterman Ave, Suite B, San Bernardino, CA 92404-5111 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| 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 |
|---|---|---|---|---|
| 1386171841 | Bio-medical Applications of California, Inc. | Clinic/Center | 1500 N Waterman Ave Ste B, San Bernardino, CA 92404-5111 | 2017-05-16 |
| 1891979332 | Bio-medical Applications of California, Inc. | Clinic/Center | 269 E Caroline St Ste A, San Bernardino, CA 92408-3748 | 2007-12-19 |
| 1700998507 | Bio-medical Applications of California, Inc. | Clinic/Center | 636 E Brier Dr Ste 150, San Bernardino, CA 92408-2809 | 2006-08-31 |
| 1902869357 | Renal Treatment Centers California Inc | Clinic/Center | 4041 University Pkwy, San Bernardino, CA 92407-1823 | 2006-04-07 |
| 1043271489 | Renal Treatment Centers California Inc | Clinic/Center | 894 Hardt St, San Bernardino, CA 92408-2854 | 2006-03-28 |
| 1831560077 | Holten Dialysis LLC | Clinic/Center | 1800 Medical Center Dr, Ste 150, San Bernardino, CA 92411-1218 | 2015-10-14 |
| 1306267364 | Seabay Dialysis LLC | Clinic/Center | 966 E Hospitality Ln, San Bernardino, CA 92408-2818 | 2013-12-18 |
| 1366469363 | San Bernardino Valley Home Dialysis Center, Inc. | Clinic/Center | 1500 N Waterman Ave, Suite B, San Bernardino, CA 92404-5111 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444765 | Kinter Dialysis, LLC | Clinic/Center | 1055 El Camino Real, Colma, CA 94014-3234 | 2020-10-16 |
| 1063010734 | Monad Dialysis, LLC | Clinic/Center | 5238 Manzanita Ave, Carmichael, CA 95608-0510 | 2020-10-14 |
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, 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.