Organization · Type 2 NPI

Cheraw Dialysis LLC

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

NPI number 1396203246 Active

Practice location

2415 San Pablo Dam Rd Ste 504
San Pablo, CA 94806-3906

Call (510) 233-2991 Map

Fax (510) 233-6002

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

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

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

See all in San Pablo →

NPI record

NPI: 1396203246
Entity type: Organization (Type 2)
Issued: Mar 11, 2019
Last updated: Aug 22, 2025
Status: Active

Other names

<unavail>
Alvarado Park Home Training · doing business as
Alvarado Park Home Training · 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.

Is this your record? How to update it.

About NPI 1396203246

Cheraw Dialysis LLC's National Provider Identifier is 1396203246, issued on Mar 11, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in San Pablo, CA. The record was last updated on Aug 22, 2025.