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BIO-MEDICAL APPLICATIONS OF CALIFORNIA INC. NPI 1366834285


NPI Information

NPI: 1366834285
Provider Name: BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.

Doing Business As: FRESENIUS MEDICAL CARE RAVEN

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2094886

Address:
499 RAVEN ST
SAN DIEGO, CA
ZIP 92102
Phone: (619) 263-1518
Get Directions

BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC. is an end-stage renal disease (esrd) treatment clinic center in San Diego, CA. BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC. NPI is 1366834285. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Raven.

The provider's business location address is:

499 RAVEN ST
SAN DIEGO, CA
ZIP 92102-525
Phone: (619) 263-1518
Fax: (619) 263-1536

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 05D2094886 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2015 and was last updated on 10/17/2023.


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
155-2798OTHERCALIFORNIAPTAN

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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