USRC CHULA VISTA BROADWAY LLC NPI 1750055489

NPI Information

  • NPI: 1750055489
  • Provider Name: USRC CHULA VISTA BROADWAY, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Address: 1181 BROADWAY STE 5
    CHULA VISTA, CA
    ZIP 91911
  • Phone: (619) 585-0016

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NPI Details

USRC CHULA VISTA BROADWAY, LLC is an end-stage renal disease (esrd) treatment clinic center in Chula Vista, CA. USRC CHULA VISTA BROADWAY, LLC NPI is 1750055489. The provider is registered as an organization entity type.

The provider's business location address is:

1181 BROADWAY STE 5
CHULA VISTA, CA
ZIP 91911-749
Phone: (619) 585-0016
Fax: (619) 585-0410

The provider's authorized official is Thomas L Weinberg .
The authorized official title is President and has the following contact phone number (214) 736-2700.

The enumeration date for this NPI number is 8/5/2021 and was last updated on 8/5/2021.

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: 11/21/2025

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