KINNICK DIALYSIS LLC NPI 1467941534

NPI Information

  • NPI: 1467941534
  • Provider Name: KINNICK DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: ROSE CITY DIALYSIS
  • CLIA Number: 05D2163118
  • Address: 1382 LOCUST ST
    PASADENA, CA
    ZIP 91106
  • Phone: (626) 395-7769

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NPI Details

KINNICK DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Pasadena, CA. KINNICK DIALYSIS LLC NPI is 1467941534. The provider is registered as an organization entity type.
The provider Is Doing Business As Rose City Dialysis.

The provider's business location address is:

1382 LOCUST ST
PASADENA, CA
ZIP 91106-515
Phone: (626) 395-7769
Fax: (626) 395-7723

The provider's authorized official is Samuel T. Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 05D2163118 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 4/30/2024.

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) TreatmentYes

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: 3/30/2025

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