HOME DIALYSIS THERAPIES OF SAN DIEGO (NPI# 1720114010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720114010 |
| Entity Type | Organization |
| Organization Name | HOME DIALYSIS THERAPIES OF SAN DIEGO |
| Practice Address |
2060 Otay Lakes Rd Suite 120 Chula Vista CA 91915-1364 |
| Practice Telephone | 6194220003 |
| Practice Fax Number | 6194220004 |
| Mailing Telephone | 6194220003 |
| Mailing Fax Number | 6194220004 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | MRS. DENISE BARNES (CEO) |
| Authorized Official Telephone | 8585493400 |
| Authorized Official Credential | RN |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDC552546F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457487738 | Home Dialysis Therapies of San Diego | Clinic/Center | 10672 Wexford St, Suite 250, San Diego, CA 92131-3969 | 2007-02-23 |
| Street Address |
2060 OTAY LAKES RD SUITE 120 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91915-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114966777 | Renato De La Rosa | Internal Medicine | 2060 Otay Lakes Rd, Ste 220, Chula Vista, CA 91915-1364 | 2006-06-06 |
| 1073867297 | Renato De La Rosa Md Inc | Internal Medicine | 2060 Otay Lakes Rd, Suite, Chula Vista, CA 91915-1364 | 2012-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382206 | Oscar Brian Castillo | Student in an Organized Health Care Education/Training Program | 9123 Stylus Street Apt 301, Chula Vista, CA 91915 | 2019-12-10 |
| 1912430596 | Jennifer Soriano | Respiratory Therapist, Registered | 2074 Barbados Cove #3, Chula Vista, CA 91915 | 2017-04-10 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1447640750 | Lotus Behavioral Health and Rehabilitation Services Inc. | Community/Behavioral Health | 1612-4 Paseo Carina, Chula Vista, CA 91915 | 2015-01-26 |
| 1417376187 | Joshua Hervas | Military Health Care Provider | 2710 Apricot Court, Chula Vista, CA 91915 | 2014-04-10 |
| 1477844280 | Alredo Chavez | Military Health Care Provider | 2460 Steamboat Springs Ct., Chula Vista, CA 91915 | 2011-04-27 |
| 1821307612 | Reginald Alano Demapelis | Military Health Care Provider | 1510 Circulo Brindisi, Chula Vista, CA 91915 | 2010-09-28 |
| 1184872392 | Marietta Galang | Registered Nurse | 1249 Long View Drive, Chula Vista, CA 91915 | 2008-08-29 |
| 1952576456 | Eric John R Eusebio Dmd Inc | Dentist | 2127 Olympic Parkway, #1003, Chula Vista, CA 91915 | 2008-04-25 |
| 1932226115 | Jose Luis Guzman | Dentist | 1645 Hickory Nut Pl, Chula Vista, CA 91915 | 2007-03-23 |
| Find all providers in zip 91915 | ||||
| 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 |
|---|---|---|---|---|
| 1871129379 | Srs-san Diegi LLC | Clinic/Center | 963 Lane Ave, Chula Vista, CA 91914-3501 | 2020-03-16 |
| 1992131395 | Innovative Dialysis Centers of La Jolla LLC | Clinic/Center | 2084 Otay Lakes Rd, Ste 101-a, Chula Vista, CA 91915-1368 | 2013-09-18 |
| 1679814768 | Fresenius Medical Care East Lakes LLC | Clinic/Center | 2391 Boswell Rd, Chula Vista, CA 91914-3509 | 2013-03-14 |
| 1982954871 | Innovative Dialysis Centers of La Jolla LLC | Clinic/Center | 2082 Otay Lakes Rd, Suite A-1, Chula Vista, CA 91915-1367 | 2012-09-18 |
| 1447324181 | Rai Care Centers of Southern California II, LLC | Clinic/Center | 1181 Broadway, Suite 5, Chula Vista, CA 91911-2749 | 2006-11-17 |
| 1568436715 | Dva Renal Healthcare Inc | Clinic/Center | 630 Bay Blvd, Ste 101, Chula Vista, CA 91910-5262 | 2006-02-15 |
| 1275809840 | Dialysis Newco Inc | Clinic/Center | 1181 Broadway, Suite 5, Chula Vista, CA 91911-2749 | 2012-03-28 |
| 1588988646 | Fresenius Medical Care Balboa, LLC | Clinic/Center | 340 4th Ave, Ste 18, Chula Vista, CA 91910-3813 | 2010-03-18 |
| 1801021399 | Fresenius Medical Care Balboa, LLC | Clinic/Center | 630 Bay Blvd, Suite 101, Chula Vista, CA 91910-5262 | 2009-05-27 |
| 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 | CHULA VISTA |
| Zip Code | 91915 |
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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.