GAREY DIALYSIS CENTER PARTNERSHIP NPI 1861567620

NPI Information

NPI: 1861567620
Provider Name: GAREY DIALYSIS CENTER PARTNERSHIP
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: RAI - FOOTHILL BLVD - GLENDORA
CLIA Number: 05D0937017
Address: 120 W FOOTHILL BLVD
GLENDORA, CA
ZIP 91741
Phone: (626) 335-7551

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NPI Details

GAREY DIALYSIS CENTER PARTNERSHIP is an end-stage renal disease (esrd) treatment clinic center in Glendora, CA. GAREY DIALYSIS CENTER PARTNERSHIP NPI is 1861567620. The provider is registered as an organization entity type.
The provider Is Doing Business As Rai - Foothill Blvd - Glendora.

The provider's business location address is:

120 W FOOTHILL BLVD
GLENDORA, CA
ZIP 91741-364
Phone: (626) 335-7551
Fax: (626) 335-0962

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 05D0937017 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2006 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
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	052820	OTHER	CALIFORNIA	BLUE CROSS OF CALIFORNIA
2	CDC02820F	MEDICAID	CALIFORNIA
3	052820	OTHER	CALIFORNIA	PTAN
4	ZZZR0223Z	OTHER	CALIFORNIA	BLUE SHIELD OF 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: 3/30/2025

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