DOLORES DIALYSIS LLC NPI 1033429287

NPI Information

  • NPI: 1033429287
  • Provider Name: DOLORES DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: CATHEDRAL CITY DIALYSIS
  • Address: 30885 DATE PALM DR
    CATHEDRAL CITY, CA
    ZIP 92234
  • Phone: (760) 202-3491

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NPI Details

DOLORES DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Cathedral City, CA. DOLORES DIALYSIS LLC NPI is 1033429287. The provider is registered as an organization entity type.
The provider Is Doing Business As Cathedral City Dialysis.

The provider's business location address is:

30885 DATE PALM DR
CATHEDRAL CITY, CA
ZIP 92234-958
Phone: (760) 202-3491
Fax: (760) 202-7015

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 11/4/2024.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment5500001638CALIFORNIAYes

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
11033429287MEDICAIDCALIFORNIA

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: 11/21/2025

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