Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pismo Beach, CA

NPI number 1144539586 Active

Practice location

320 James Way Ste 110
Pismo Beach, CA 93449-2875

Call (805) 556-0577 Map

Fax (805) 556-0510

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...

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NPI record

NPI: 1144539586
Entity type: Organization (Type 2)
Issued: Oct 4, 2010
Last updated: Jun 10, 2024
Status: Active

Other names

<unavail>
Pismo Beach Dialysis · doing business as
Pismo Beach Dialysis · doing business as

Authorized official

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

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About NPI 1144539586

Total Renal Care Inc's National Provider Identifier is 1144539586, issued on Oct 4, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Pismo Beach, CA. The record was last updated on Jun 10, 2024.