| NPI | 1265615934 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-12-17 |
| Last Updated | 2026-03-19 |
| Authorized Official | Samuel Wey VP Licensure&Certification Phone: 6153416641 |
| Mailing Address | 5200 Virginia Way, L&c Dept Brentwood, TN 37027-7569 United States 📍 View Map |
| Primary Practice Address | 10238 E Hampton Ave, Ste 108 Mesa, AZ 85209-3317 United States Phone: (480) 357-8009 | Fax: (480) 357-0372 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AZ | 417208 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QE0700X – Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | AZ | OTC-4509 |
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About NPI 1265615934
Southwest Kidney Davita Dialysis Partners Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1265615934. The primary specialty listed is Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The organization is located in Mesa, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-12-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265615934?
NPI 1265615934 belongs to Southwest Kidney Davita Dialysis Partners Llc, a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Mesa, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265615934 active?
The current status of NPI 1265615934 in the NPPES registry is Active. The record was last updated on 2026-03-19.
What specialty is NPI 1265615934?
NPI 1265615934 is classified under the taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265615934?
You can verify NPI 1265615934 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265615934?
The primary practice address on file for NPI 1265615934 is 10238 E Hampton Ave, Mesa, AZ 85209-3317. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265615934 issued?
NPI 1265615934 was first issued (enumerated) on 2007-12-17. The NPPES record was last updated on 2026-03-19.
Practice Location Map
Southwest Kidney Davita Dialysis Partners Llc is located at 10238 E Hampton Ave, Mesa, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Southwest Kidney Davita Dialysis Partners Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1265615934. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | OTC-4509 | AZ |