RAI CARE CENTERS OF NORTHERN CALIFORNIA II LLC NPI 1003980350

NPI Information

NPI: 1003980350
Provider Name: RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC

Doing Business As: RAI-TELEGRAPH-PERALTA

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2757 TELEGRAPH AVE
OAKLAND, CA
ZIP 94612
Phone: (510) 835-0154
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RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC is an end-stage renal disease (esrd) treatment clinic center in Oakland, CA. RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC NPI is 1003980350. The provider is registered as an organization entity type.
The provider Is Doing Business As Rai-telegraph-peralta.

The provider's business location address is:

2757 TELEGRAPH AVE
OAKLAND, CA
ZIP 94612-733
Phone: (510) 835-0154
Fax: (510) 835-2036

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 05D0718174 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02	OTHER	CALIFORNIA	KAISER
2	05-2721	OTHER	CALIFORNIA	PTAN
3	052721	OTHER	CALIFORNIA	BLUE CROSS OF CALIFORNIA
4	ZZZR0202Z	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA
5	CDC02721H	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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