HOME DIALYSIS THERAPIES OF SAN DIEGO NPI 1457487738

NPI Information

NPI: 1457487738
Provider Name: HOME DIALYSIS THERAPIES OF SAN DIEGO
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
10672 WEXFORD ST
SUITE 250
SAN DIEGO, CA
ZIP 92131
Phone: (858) 549-3400
Get Directions

HOME DIALYSIS THERAPIES OF SAN DIEGO is an end-stage renal disease (esrd) treatment clinic center in San Diego, CA. HOME DIALYSIS THERAPIES OF SAN DIEGO NPI is 1457487738. The provider is registered as an organization entity type.

The provider's business location address is:

10672 WEXFORD ST
SUITE 250
SAN DIEGO, CA
ZIP 92131-969
Phone: (858) 549-3400
Fax: (858) 549-3405

The provider's authorized official is Denise Barnes .
The authorized official title is Ceo and has the following contact phone number (858) 549-3400.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/3/2009.

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

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
1	552543	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	DIALYSIS FACILITY
2	CDC52543F	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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