WALCOTT DIALYSIS LLC NPI 1679995948

NPI Information

  • NPI: 1679995948
  • Provider Name: WALCOTT DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: NEWPORT IRVINE DIALYSIS
  • CLIA Number: 05D2091441
  • Address: 4300 VON KARMAN AVE
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (949) 863-1382

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NPI Details

WALCOTT DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Newport Beach, CA. WALCOTT DIALYSIS LLC NPI is 1679995948. The provider is registered as an organization entity type.
The provider Is Doing Business As Newport Irvine Dialysis.

The provider's business location address is:

4300 VON KARMAN AVE
NEWPORT BEACH, CA
ZIP 92660-004
Phone: (949) 863-1382
Fax: (949) 863-1407

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 05D2091441 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2014 and was last updated on 4/24/2024.

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) Treatment550003126CALIFORNIAYes

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

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