Organization · Type 2 NPI

Stewart Dialysis LLC

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

NPI number 1205135340 Active

Practice location

4200 Macdonald Ave, Ste A
Richmond, CA 94805-2315

Call (510) 236-8861 Map

Fax (510) 236-2563

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	550001670 (CA)

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

NPI record

NPI: 1205135340
Entity type: Organization (Type 2)
Issued: Mar 15, 2011
Last updated: Apr 7, 2026
Status: Active

Other names

<unavail>
Richmond Dialysis · doing business as
Richmond 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 1205135340

Stewart Dialysis LLC's National Provider Identifier is 1205135340, issued on Mar 15, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Richmond, CA. The record was last updated on Apr 7, 2026.