RAI CARE CENTERS OF NORTHERN CALIFORNIA I LLC NPI 1164596490

NPI Information

NPI: 1164596490
Provider Name: RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: RAI-CERES AVE-CHICO
CLIA Number: 05D0963832
Address: 3011 CERES AVE STE 125
CHICO, CA
ZIP 95973
Phone: (530) 343-5279

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NPI Details

RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC is an end-stage renal disease (esrd) treatment clinic center in Chico, CA. RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC NPI is 1164596490. The provider is registered as an organization entity type.
The provider Is Doing Business As Rai-ceres Ave-chico.

The provider's business location address is:

3011 CERES AVE STE 125
CHICO, CA
ZIP 95973-636
Phone: (530) 343-5279
Fax: (530) 343-7490

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 05D0963832 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 10/17/2023.

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	052752	OTHER	CALIFORNIA	BLUE CROSS OF CALIFORNIA
2	CDC02752H	MEDICAID	CALIFORNIA
3	07	OTHER	CALIFORNIA	KAISER
4	ZZZR0198Z	OTHER	CALIFORNIA	BLUE 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: 3/30/2025

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