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RAI CARE CENTERS OF NORTHERN CALIFORNIA II LLC NPI 1720152994


NPI Information

NPI: 1720152994
Provider Name: RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC

Other Name: RAI-CESAR CHAVEZ-SAN FRANCISCO

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1750 CESAR CHAVEZ
SUITE A
SAN FRANCISCO, CA
ZIP 94124
Phone: (415) 206-9775
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RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC is an end-stage renal disease (esrd) treatment clinic center in San Francisco, CA. RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC NPI is 1720152994. The provider is registered as an organization entity type.
The provider Other Name Is Rai-cesar Chavez-san Francisco.

The provider's business location address is:

1750 CESAR CHAVEZ
SUITE A
SAN FRANCISCO, CA
ZIP 94124-138
Phone: (415) 206-9775
Fax: (415) 206-9640

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

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/30/2012.


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 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
1ZZZR0203ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
2CDC02775GMEDICAIDCALIFORNIA
3052775OTHERCALIFORNIABLUE CROSS OF CALIFORNIA
405OTHERCALIFORNIAKAISER
5052775MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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