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RAI CARE CENTERS OF NORTHERN CALIFORNIA II LLC NPI 1043384324


NPI Information

NPI: 1043384324
Provider Name: RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC

Doing Business As: RAI - BANCROFT AVE - OAKLAND

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D0932549

Address:
610 HEGENBERGER RD STE 101B
OAKLAND, CA
ZIP 94621
Phone: (510) 553-1333
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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 1043384324. The provider is registered as an organization entity type.
The provider Is Doing Business As Rai - Bancroft Ave - Oakland.

The provider's business location address is:

610 HEGENBERGER RD STE 101B
OAKLAND, CA
ZIP 94621-914
Phone: (510) 553-1333
Fax: (510) 553-1311

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 05D0932549 - 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 8/3/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104OTHERCALIFORNIAKAISER
2CDC02815GMEDICAIDCALIFORNIA
3052815OTHERCALIFORNIABLUE CROSS OF CALIFORNIA
4ZZZR0225ZOTHERCALIFORNIABLUE SHIELD OF 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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