FLAGLER DIALYSIS LLC NPI 1346590106

NPI Information

  • NPI: 1346590106
  • Provider Name: FLAGLER DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: MORENO VALLEY DIALYSIS
  • Address: 22620 GOLDENCREST DR
    STE 101
    MORENO VALLEY, CA
    ZIP 92553
  • Phone: (951) 656-3804

Map and Directions

Get Directions

NPI Details

FLAGLER DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Moreno Valley, CA. FLAGLER DIALYSIS LLC NPI is 1346590106. The provider is registered as an organization entity type.
The provider Is Doing Business As Moreno Valley Dialysis.

The provider's business location address is:

22620 GOLDENCREST DR
STE 101
MORENO VALLEY, CA
ZIP 92553-032
Phone: (951) 656-3804
Fax: (951) 656-7508

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

The enumeration date for this NPI number is 9/19/2012 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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment240000808CALIFORNIAYes

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
11346590106MEDICAIDCALIFORNIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI