KIDNEY DIALYSIS CENTER OF TEMPLETONLLC NPI 1144265737

NPI Information

NPI: 1144265737
Provider Name: KIDNEY DIALYSIS CENTER OF TEMPLETON,LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
TEMPLETON MEDICAL PLAZA
SUITE # 103 ,LOS TABLOS AVE.
TEMPLETON, CA
ZIP 93465
Phone: (805) 433-7777
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KIDNEY DIALYSIS CENTER OF TEMPLETON,LLC is an end-stage renal disease (esrd) treatment clinic center in Templeton, CA. KIDNEY DIALYSIS CENTER OF TEMPLETON,LLC NPI is 1144265737. The provider is registered as an organization entity type.

The provider's business location address is:

TEMPLETON MEDICAL PLAZA
SUITE # 103 ,LOS TABLOS AVE.
TEMPLETON, CA
ZIP 93465
Phone: (805) 433-7777
Fax: (805) 433-7655

The provider's authorized official is Lisa Viral Upponi .
The authorized official title is Director Of Accounts Receivable and has the following contact phone number (805) 433-7506.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 1/7/2008.

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	552567	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE
2	CDC52567F	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: 5/5/2024

NPI Synchronization or Removal

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