GATE DIALYSIS LLC NPI 1316323579

NPI Information

NPI: 1316323579
Provider Name: GATE DIALYSIS LLC

Doing Business As: GOLDEN STATE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
4200 N GOLDEN STATE BLVD
TURLOCK, CA
ZIP 95382
Phone: (209) 634-0014
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GATE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Turlock, CA. GATE DIALYSIS LLC NPI is 1316323579. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden State Dialysis.

The provider's business location address is:

4200 N GOLDEN STATE BLVD
TURLOCK, CA
ZIP 95382-840
Phone: (209) 634-0014
Fax: (209) 634-0048

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 05D2230384 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/10/2015 and was last updated on 2/17/2021.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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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