Organization · Type 2 NPI

Skagit Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · San Jose, CA

NPI number 1104187202 Active

Practice location

725 Ridder Park Dr, Ste 10
San Jose, CA 95131-2431

Call (408) 392-0390 Map

Fax (408) 392-0405

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	None listed

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

Another provider at this address

Priday Dialysis LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center San Jose, CA NPI 1427319524

Other end-stage renal disease (esrd) treatment clinic/center providers in San Jose

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NPI record

NPI: 1104187202
Entity type: Organization (Type 2)
Issued: Jun 5, 2012
Last updated: Feb 26, 2025
Status: Active

Other names

<unavail>
Silicon Valley Dialysis · doing business as
Silicon Valley Dialysis · doing business as

Authorized official

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

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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 1104187202

Skagit Dialysis LLC's National Provider Identifier is 1104187202, issued on Jun 5, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in San Jose, CA. The record was last updated on Feb 26, 2025.