Organization · Type 2 NPI

Prairie Dialysis LLC

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

NPI number 1407233240 Active

Practice location

721 W 1st St
Tustin, CA 92780-2903

Call (714) 544-0079 Map

Fax (714) 544-0071

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	None listed

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

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About NPI 1407233240

Prairie Dialysis LLC's National Provider Identifier is 1407233240, issued on Apr 30, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tustin, CA. The record was last updated on Mar 31, 2026.