Organization · Type 2 NPI

Southwest Kidney Davita Dialysis Partners LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mesa, AZ

NPI number 1265615934 Active

Practice location

10238 E Hampton Ave, Ste 108
Mesa, AZ 85209-3317

Call (480) 357-8009 Map

Fax (480) 357-0372

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	OTC-4509 (AZ)

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

22 other providers at this address

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

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NPI record

NPI: 1265615934
Entity type: Organization (Type 2)
Issued: Dec 17, 2007
Last updated: Mar 19, 2026
Status: Active

Other names

<unavail>
Mountain Vista Dialysis Center of Arizona · doing business as
Mountain Vista Dialysis Center of Arizona · 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 1265615934

Southwest Kidney Davita Dialysis Partners LLC's National Provider Identifier is 1265615934, issued on Dec 17, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mesa, AZ. The record was last updated on Mar 19, 2026.