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NEWPORT MESA DIALYSIS SERVICES LLC NPI 1730337536


NPI Information

NPI: 1730337536
Provider Name: NEWPORT MESA DIALYSIS SERVICES, LLC

Doing Business As: NEWPORT MESA DIALYSIS SERVICES

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D1088753

Address:
1175 BAKER ST STE B
COSTA MESA, CA
ZIP 92626
Phone: (714) 641-5808
Get Directions

NEWPORT MESA DIALYSIS SERVICES, LLC is an end-stage renal disease (esrd) treatment clinic center in Costa Mesa, CA. NEWPORT MESA DIALYSIS SERVICES, LLC NPI is 1730337536. The provider is registered as an organization entity type.
The provider Is Doing Business As Newport Mesa Dialysis Services.

The provider's business location address is:

1175 BAKER ST STE B
COSTA MESA, CA
ZIP 92626-139
Phone: (714) 641-5808
Fax: (714) 641-5962

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 05D1088753 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2008 and was last updated on 10/17/2023.


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: 5/5/2024

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