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CAPITAL DIALYSIS PARTNERSHIP NPI 1215990478


NPI Information

NPI: 1215990478
Provider Name: CAPITAL DIALYSIS PARTNERSHIP

Doing Business As: ORANGEVALE DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D0951361

Address:
9267 GREENBACK LN
STE A2
ORANGEVALE, CA
ZIP 95662
Phone: (916) 988-5666
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CAPITAL DIALYSIS PARTNERSHIP is an end-stage renal disease (esrd) treatment clinic center in Orangevale, CA. CAPITAL DIALYSIS PARTNERSHIP NPI is 1215990478. The provider is registered as an organization entity type.
The provider Is Doing Business As Orangevale Dialysis Center.

The provider's business location address is:

9267 GREENBACK LN
STE A2
ORANGEVALE, CA
ZIP 95662-864
Phone: (916) 988-5666
Fax: (916) 988-5636

The provider's authorized official is John D. Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 05D0951361 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 3/24/2021.


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) Treatment110000475CALIFORNIAYes

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
11215990478MEDICAIDCALIFORNIA

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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