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TOTAL RENAL CARE INC NPI 1295064905


NPI Information

NPI: 1295064905
Provider Name: TOTAL RENAL CARE INC

Doing Business As: THOUSAND OAKS DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
375 ROLLING OAKS DR STE 100
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 557-1036
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Thousand Oaks, CA. TOTAL RENAL CARE INC NPI is 1295064905. The provider is registered as an organization entity type.
The provider Is Doing Business As Thousand Oaks Dialysis.

The provider's business location address is:

375 ROLLING OAKS DR STE 100
THOUSAND OAKS, CA
ZIP 91361-024
Phone: (805) 557-1036
Fax: (805) 557-1173

The provider's authorized official is Samuel Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 8/28/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
11295064905MEDICAIDCALIFORNIA

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: 4/28/2024

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