Organization · Type 2 NPI

Palomar Dialysis LLC

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

NPI number 1700029642 Active

Practice location

3201 Doolan Rd, Ste 175
Livermore, CA 94551-9610

Call (925) 245-9780 Map

Fax (925) 245-9785

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	5500001188 (CA)

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

NPI record

NPI: 1700029642
Entity type: Organization (Type 2)
Issued: Apr 8, 2009
Last updated: Dec 16, 2025
Status: Active

Other names

<unavail>
Livermore Dialysis · doing business as
Livermore Dialysis · 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 1700029642

Palomar Dialysis LLC's National Provider Identifier is 1700029642, issued on Apr 8, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Livermore, CA. The record was last updated on Dec 16, 2025.