Organization · Type 2 NPI

Davita Riverside LLC

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

NPI number 1174791883 Active

Practice location

3050 W Florida Ave
Hemet, CA 92545-3619

Call (951) 925-9723 Map

Fax (951) 925-9789

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	240000801 (CA)

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

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NPI record

NPI: 1174791883
Entity type: Organization (Type 2)
Issued: Feb 15, 2008
Last updated: Sep 19, 2025
Status: Active

Other names

<unavail>
Hemet Dialysis Center · doing business as
Hemet Dialysis Center · doing business as

Authorized official

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

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About NPI 1174791883

Davita Riverside LLC's National Provider Identifier is 1174791883, issued on Feb 15, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hemet, CA. The record was last updated on Sep 19, 2025.