Organization · Type 2 NPI

Llano Dialysis LLC

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

NPI number 1265669444 Active

Practice location

830 Redwood St
Vallejo, CA 94590-2942

Call (707) 642-2016 Map

Fax (707) 642-2023

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	110000434 (CA)

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

Another provider at this address

Regina Geddins, LCSWClinical Social Worker Vallejo, CA NPI 1194275412

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

See all in Vallejo →

NPI record

NPI: 1265669444
Entity type: Organization (Type 2)
Issued: Jun 16, 2009
Last updated: Dec 19, 2025
Status: Active

Other names

<unavail>
Vallejo Dialysis · doing business as
Vallejo Dialysis · doing business as

Authorized official

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

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About NPI 1265669444

Llano Dialysis LLC's National Provider Identifier is 1265669444, issued on Jun 16, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Vallejo, CA. The record was last updated on Dec 19, 2025.