RENAL TREATMENT CENTERS CALIFORNIA INC NPI 1922333764

NPI Information

  • NPI: 1922333764
  • Provider Name: RENAL TREATMENT CENTERS CALIFORNIA INC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: ONTARIO DIALYSIS
  • Address: 1950 S GROVE AVE
    STE 101-105
    ONTARIO, CA
    ZIP 91761
  • Phone: (909) 930-5566

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NPI Details

RENAL TREATMENT CENTERS CALIFORNIA INC is an end-stage renal disease (esrd) treatment clinic center in Ontario, CA. RENAL TREATMENT CENTERS CALIFORNIA INC NPI is 1922333764. The provider is registered as an organization entity type.
The provider Is Doing Business As Ontario Dialysis.

The provider's business location address is:

1950 S GROVE AVE
STE 101-105
ONTARIO, CA
ZIP 91761-693
Phone: (909) 930-5566
Fax: (909) 930-5690

The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 10/13/2009 and was last updated on 9/20/2023.

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) Treatment550000080CALIFORNIAYes

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
11922333764MEDICAIDCALIFORNIA

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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