DIALYSIS NEWCO LLC NPI 1275809840

NPI Information

  • NPI: 1275809840
  • Provider Name: DIALYSIS NEWCO LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: U.S. RENAL CARE CHULA VISTA BROADWAY DIALYSIS
  • CLIA Number: 05D0946461
  • Address: 1181 BROADWAY
    SUITE 5
    CHULA VISTA, CA
    ZIP 91911
  • Phone: (619) 585-0016

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NPI Details

DIALYSIS NEWCO LLC is an end-stage renal disease (esrd) treatment clinic center in Chula Vista, CA. DIALYSIS NEWCO LLC NPI is 1275809840. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Chula Vista Broadway Dialysis.

The provider's business location address is:

1181 BROADWAY
SUITE 5
CHULA VISTA, CA
ZIP 91911-749
Phone: (619) 585-0016
Fax: (619) 585-0410

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 05D0946461 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 1/4/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentCALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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