RAI CARE CENTERS OF SOUTHERN CALIFORNIA I LLC NPI 1558434282

NPI Information

NPI: 1558434282
Provider Name: RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC

Other Name: RAI-NORTH WATERMAN-SAN BERNADINO

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1500 N WATERMAN AVE
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 381-1591
Get Directions

RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC is an end-stage renal disease (esrd) treatment clinic center in San Bernardino, CA. RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC NPI is 1558434282. The provider is registered as an organization entity type.
The provider Other Name Is Rai-north Waterman-san Bernadino.

The provider's business location address is:

1500 N WATERMAN AVE
SAN BERNARDINO, CA
ZIP 92404-111
Phone: (909) 381-1591
Fax: (909) 384-1744

The provider's authorized official is Mark R Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/27/2012.

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	ZZZR0213Z	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA
2	052575	OTHER	CALIFORNIA	BLUE CROSS OF CALIFORNIA
3	CDC70020J	MEDICAID	CALIFORNIA
4	=========-09	OTHER	CALIFORNIA	KAISER
5	052575	MEDICARE ID-TYPE UNSPECIFIED	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: 11/14/2023

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