Organization · Type 2 NPI

Davita Riverside II LLC

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

NPI number 1316971641 Active

Practice location

11161 Magnolia Ave
Riverside, CA 92505-3605

Call (951) 351-8090 Map

Fax (951) 351-8099

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	550000177 (CA)

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

3 other providers at this address

Darcie E. Nagel, RD, CSRRegistered Dietitian Riverside, CA NPI 1518082718
Lemesis Janeth Reyes, LCSWClinical Social Worker Riverside, CA NPI 1386372589
Millicent Santos Elizalde, M.S., R.D.Registered Dietitian Riverside, CA NPI 1972810059

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

See all in Riverside →

NPI record

NPI: 1316971641
Entity type: Organization (Type 2)
Issued: Jul 11, 2006
Last updated: Apr 4, 2024
Status: Active

Other names

<unavail>
Magnolia West Dialysis · doing business as
Magnolia West 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 1316971641

Davita Riverside II LLC's National Provider Identifier is 1316971641, issued on Jul 11, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Riverside, CA. The record was last updated on Apr 4, 2024.