| NPI | 1316971641 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-11 |
| Last Updated | 2024-04-04 |
| Authorized Official | Samuel Wey VP Licensure & Certification Phone: 6153416641 |
| Mailing Address | 5200 Virginia Way, L&c Dept Brentwood, TN 37027-7569 United States Phone: (615) 238-3085 | Fax: (800) 268-9682 📍 View Map |
| Primary Practice Address | 11161 Magnolia Ave Riverside, CA 92505-3605 United States Phone: (951) 351-8090 | Fax: (951) 351-8099 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 1316971641 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QE0700X – Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | CA | 550000177 |
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About NPI 1316971641
Davita Riverside Ii Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1316971641. The primary specialty listed is Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The organization is located in Riverside, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316971641?
NPI 1316971641 belongs to Davita Riverside Ii Llc, a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Riverside, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316971641 active?
The current status of NPI 1316971641 in the NPPES registry is Active. The record was last updated on 2024-04-04.
What specialty is NPI 1316971641?
NPI 1316971641 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 1316971641?
You can verify NPI 1316971641 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 1316971641?
The primary practice address on file for NPI 1316971641 is 11161 Magnolia Ave, Riverside, CA 92505-3605. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316971641 issued?
NPI 1316971641 was first issued (enumerated) on 2006-07-11. The NPPES record was last updated on 2024-04-04.
Practice Location Map
Davita Riverside Ii Llc is located at 11161 Magnolia Ave, Riverside, CA. 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 Davita Riverside Ii 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 1316971641. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 550000177 | CA |