CAPITAL DIALYSIS PARTNERSHIP NPI 1215990684

NPI Information

  • NPI: 1215990684
  • Provider Name: CAPITAL DIALYSIS PARTNERSHIP
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • :
  • Address: 4612 ROSEVILLE RD STE 100
    NORTH HIGHLANDS, CA
    ZIP 95660
  • Phone: (916) 334-1368

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NPI Details

CAPITAL DIALYSIS PARTNERSHIP is an end-stage renal disease (esrd) treatment clinic center in North Highlands, CA. CAPITAL DIALYSIS PARTNERSHIP NPI is 1215990684. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4612 ROSEVILLE RD STE 100
NORTH HIGHLANDS, CA
ZIP 95660-175
Phone: (916) 334-1368
Fax: (916) 334-1543

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 4/7/2006 and was last updated on 5/6/2025.

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) Treatment110000472CALIFORNIAYes

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
11215990684MEDICAIDCALIFORNIA

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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