Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1639130206 Active

Practice location

1547 W Garvey Ave N
West Covina, CA 91790-2139

Call (626) 960-9405 Map

Fax (626) 960-2695

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	930000248 (CA)

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

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NPI record

NPI: 1639130206
Entity type: Organization (Type 2)
Issued: Mar 31, 2006
Last updated: Oct 14, 2025
Status: Active

Other names

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Covina Dialysis Center · doing business as
Covina Dialysis Center · doing business as

Authorized official

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

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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 1639130206

Total Renal Care Inc's National Provider Identifier is 1639130206, issued on Mar 31, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in West Covina, CA. The record was last updated on Oct 14, 2025.