Organization · Type 2 NPI

Llano Dialysis LLC

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

NPI number 1790912970 Active

Practice location

14020 San Pablo Ave
San Pablo, CA 94806-3604

Call (510) 234-0835 Map

Fax (510) 234-3854

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	140000209 (CA)

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

3 other providers at this address

Dva Healthcare Renal Care IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center San Pablo, CA NPI 1942275953
East Bay Nephrology Medical Group, Inc.Nephrology Physician San Pablo, CA NPI 1275628992
Bruce Michael Morse, MDNephrology Physician San Pablo, CA NPI 1427325760

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

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NPI record

NPI: 1790912970
Entity type: Organization (Type 2)
Issued: Jun 16, 2009
Last updated: Aug 6, 2024
Status: Active

Other names

<unavail>
San Pablo Dialysis · doing business as
San Pablo Dialysis · doing business as

Authorized official

Samuel 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.

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About NPI 1790912970

Llano Dialysis LLC's National Provider Identifier is 1790912970, issued on Jun 16, 2009. 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 6, 2024.