MINNEOPA DIALYSIS, LLC (NPI# 1992341879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992341879 |
| Entity Type | Organization |
| Organization Name | MINNEOPA DIALYSIS, LLC |
| Other Organization Name | OAKLAND LAUREL DIALYSIS |
| Practice Address |
3814 Macarthur Blvd Ste 201 Oakland CA 94619-1315 |
| Mailing Address |
5200 Virginia Way Attn: L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 5105316090 |
| Practice Fax Number | 5105316357 |
| Mailing Telephone | 6153416282 |
| Mailing Fax Number | 8003365910 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | JOHN D WINSTEL (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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oakland Laurel Dialysis | Doing Business As Name - Organization |
| Street Address |
3814 MACARTHUR BLVD STE 201 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94619-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306365390 | Jon Gerard Murphy | Registered Nurse | Merritt College Student Health Services, 12500 Campus Drive, Oakland, CA 94619 | 2017-09-12 |
| 1992161947 | Virginia Stout Downing | Dental Hygienist | 5707 Redwood Road, #19, Oakland, CA 94619 | 2016-01-06 |
| 1770900045 | Amy Klapper | Counselor | 4452 Davenport Aven, Oakland, CA 94619 | 2014-03-25 |
| 1922395797 | Lawrence W Bryer | Psychiatry & Neurology | 5131 Parkridge Dr, Oakland, CA 94619 | 2011-06-30 |
| 1255403168 | Michelle Denise Hooker | Social Worker | 2369 84th Avenue, Oakland, CA 94619 | 2006-11-15 |
| 1447338512 | William H. Birdsong Iv | Emergency Medicine | 661 Via Rialto, Oakland, CA 94619 | 2006-11-02 |
| 1861570814 | Zell Nathanson | Speech-Language Pathologist | 5424 Fernhoff Rd, Oakland, CA 94619 | 2006-11-01 |
| 1902439623 | Miranda Claggette | Counselor | 3906 Loma Vista Ave, Oakland, CA 94619 | 2020-02-20 |
| 1518443282 | Gabriela Ivanna Vargas | Counselor | 3695 High St, Oakland, CA 94619 | 2018-07-16 |
| 1275130148 | Remi Drew | Massage Therapist | 3630 Penniman Ave, Oakland, CA 94619-1116 | 2020-10-05 |
| Find all providers in zip 94619 | ||||
| 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 |
|---|---|---|---|---|
| 1831615855 | Kershaw Dialysis LLC | Clinic/Center | 4242 Broadway, Oakland, CA 94611-5130 | 2017-08-22 |
| 1568699882 | Llano Dialysis LLC | Clinic/Center | 5352 Claremont Ave, Oakland, CA 94618-1035 | 2009-06-12 |
| 1104053412 | Llano Dialysis LLC | Clinic/Center | 10700 Macarthur Blvd Ste 14, Oakland, CA 94605-5260 | 2009-06-12 |
| 1982888202 | Rai Care Centers of Oakland II, LLC | Clinic/Center | 2628 International Blvd, Suite 100, Oakland, CA 94601-1512 | 2007-12-21 |
| 1003980350 | Rai Care Centers of Northern California II, LLC | Clinic/Center | 2757 Telegraph Ave, Oakland, CA 94612-1733 | 2006-11-20 |
| 1295746527 | Independent Dialysis Foundation, Inc | Clinic/Center | 888 Memorial Dr, Oakland, MD 21550-5101 | 2006-08-11 |
| 1952364101 | Total Renal Care Piedmont Dialysis Partnership | Clinic/Center | 2633 Telegraph Ave, Ste 115, Oakland, CA 94612-1743 | 2006-04-10 |
| 1447224365 | Dva Healthcare Renal Care Inc | Clinic/Center | 5354 Claremont Ave, Oakland, CA 94618-1035 | 2006-02-15 |
| 1164794715 | Satellite Dialysis of Oakland LLC | Clinic/Center | 3330 Telegraph Ave, Oakland, CA 94609-3025 | 2012-01-29 |
| 1619164712 | Rai Care Centers of Oakland I, LLC | Clinic/Center | 2710 Telegraph Ave, Suite 205, Oakland, CA 94612-1770 | 2007-10-02 |
| Find all providers in OAKLAND | ||||
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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.