Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1265406045 Active

Practice location

56845 29 Palms Hwy
Yucca Valley, CA 92284-2940

Call (760) 365-8706 Map

Fax (760) 228-0154

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	240000630 (CA)

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

NPI record

NPI: 1265406045
Entity type: Organization (Type 2)
Issued: Feb 16, 2006
Last updated: Aug 20, 2025
Status: Active

Other names

<unavail>
Hi-Desert Dialysis · doing business as
Hi-Desert 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 1265406045

Dva Renal Healthcare Inc's National Provider Identifier is 1265406045, issued on Feb 16, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Yucca Valley, CA. The record was last updated on Aug 20, 2025.