Organization · Type 2 NPI

San Diego Dialysis Services, Inc.

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

NPI number 1417069212 Active

Practice location

5961 University Ave Ste 317
San Diego, CA 92115-6300

Call (619) 229-9654 Map

Fax (619) 286-0821

Other practice locations

4660 El Cajon Blvd, #110, San Diego, CA 92115-4465 · (619) 516-4803

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...

Another provider at this address

Fresenius Medical Care Balboa V, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center San Diego, CA NPI 1316409865

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

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NPI record

NPI: 1417069212
Entity type: Organization (Type 2)
Issued: Aug 31, 2006
Last updated: Aug 20, 2019
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

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FMC Dialysis Services of College · doing business as
FMC Dialysis Services of College · doing business as

Authorized official

James Divito
Vice President
(781) 699-9000

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 1417069212

San Diego Dialysis Services, Inc.'s National Provider Identifier is 1417069212, issued on Aug 31, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in San Diego, CA. The record was last updated on Aug 20, 2019.