Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Costa Mesa, CA

NPI number 1013981455 Active

Practice location

1590 Scenic Ave
Costa Mesa, CA 92626-1400

Call (714) 540-9401 Map

Fax (714) 540-9420

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	080000778 (CA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Sahag YegenianRegistered Dietitian Costa Mesa, CA NPI 1356950901

Other end-stage renal disease (esrd) treatment clinic/center providers in Costa Mesa

Newport Mesa Dialysis Services, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Costa Mesa, CA NPI 1730337536

See all in Costa Mesa →

NPI record

NPI: 1013981455
Entity type: Organization (Type 2)
Issued: Feb 14, 2006
Last updated: Apr 24, 2024
Status: Active

Other names

<unavail>
Costa Mesa Dialysis · doing business as
Costa Mesa Dialysis · doing business as

Authorized official

Samuel T. Wey
VP, Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013981455

Dva Healthcare Renal Care Inc's National Provider Identifier is 1013981455, issued on Feb 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Apr 24, 2024.