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TOTAL RENAL CARE PIEDMONT DIALYSIS PARTNERSHIP NPI 1952364101


NPI Information

NPI: 1952364101
Provider Name: TOTAL RENAL CARE PIEDMONT DIALYSIS PARTNERSHIP

Doing Business As: OAKLAND PERITONEAL DIALYSIS CENTRER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2633 TELEGRAPH AVE
STE 115
OAKLAND, CA
ZIP 94612
Phone: (510) 267-0819
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TOTAL RENAL CARE PIEDMONT DIALYSIS PARTNERSHIP is an end-stage renal disease (esrd) treatment clinic center in Oakland, CA. TOTAL RENAL CARE PIEDMONT DIALYSIS PARTNERSHIP NPI is 1952364101. The provider is registered as an organization entity type.
The provider Is Doing Business As Oakland Peritoneal Dialysis Centrer.

The provider's business location address is:

2633 TELEGRAPH AVE
STE 115
OAKLAND, CA
ZIP 94612-743
Phone: (510) 267-0819
Fax: (510) 267-8979

The provider's authorized official is Thomas O Usilton .
The authorized official title is Group Vice President and has the following contact phone number (770) 541-7922.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 8/17/2007.


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) TreatmentCALIFORNIAYes

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
1CDC02822FMEDICAIDCALIFORNIA
2052822MEDICARE OSCAR/CERTIFICATION

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: 11/14/2023

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