RENAL TREATMENT CENTERS CALIFORNIA INC (NPI# 1609835438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609835438 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS CALIFORNIA INC |
| Other Organization Name | LAKEPORT DIALYSIS CENTER |
| Practice Address |
804 11th St Ste 2 Lakeport CA 95453-4102 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7072637132 |
| Practice Fax Number | 7072638926 |
| Mailing Telephone | 6153416765 |
| Mailing Fax Number | 8337829089 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-01-14 |
| 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 |
110000436 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1609835438 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeport Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275661506 | Renal Treatment Centers California Inc | Clinic/Center | 14400 Olympic Dr, Clearlake, CA 95422-8809 | 2007-02-28 |
| 1528168291 | Renal Treatment Centers California Inc | Clinic/Center | 33487 Yucaipa Blvd, Yucaipa, CA 92399-2064 | 2006-09-23 |
| 1215032404 | Renal Treatment Centers California Inc | Clinic/Center | 1075 E Pacific Coast Hwy, Long Beach, CA 90806-5089 | 2006-09-13 |
| 1750486148 | Renal Treatment Centers California Inc | Clinic/Center | 2020 Santa Monica Blvd Ste 100, Santa Monica, CA 90404-2139 | 2006-09-13 |
| 1932127800 | Renal Treatment Centers California Inc | Clinic/Center | 2455 Sister Mary Columba Dr, Red Bluff, CA 96080-4364 | 2006-07-18 |
| 1487609384 | Renal Treatment Centers California Inc | Clinic/Center | 15736 Woodruff Ave, Bellflower, CA 90706-4018 | 2006-05-23 |
| 1245293356 | Renal Treatment Centers California Inc | Clinic/Center | 2345 Forest Ave, Chico, CA 95928-7641 | 2006-04-10 |
| 1366405342 | Renal Treatment Centers California Inc | Clinic/Center | 941 Merchant St, Vacaville, CA 95688-5315 | 2006-04-10 |
| 1689637795 | Renal Treatment Centers California Inc | Clinic/Center | 1820 E Deere Ave, Santa Ana, CA 92705-5721 | 2006-04-10 |
| 1407819485 | Renal Treatment Centers California Inc | Clinic/Center | 26900 Cactus Ave, Moreno Valley, CA 92555-3912 | 2006-04-10 |
| Street Address |
804 11TH ST STE 2 |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on RENAL TREATMENT CENTERS CALIFORNIA INC.
| 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.