Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

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

NPI number 1861467607 Active

Practice location

16049 Kamana Rd
Apple Valley, CA 92307-1331

Call (760) 242-8311 Map

Fax (760) 242-5419

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	240000022 (CA)

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

Another provider at this address

Geraldine Dantas, RDRegistered Dietitian Apple Valley, CA NPI 1497295877

NPI record

NPI: 1861467607
Entity type: Organization (Type 2)
Issued: Feb 22, 2006
Last updated: May 16, 2023
Status: Active

Other names

<unavail>
Victor Valley Dialysis · doing business as
Victor Valley Dialysis · doing business as

Authorized official

John D Winstel
Chief Accounting Officer
(253) 733-4501

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 1861467607

Dva Healthcare Renal Care Inc's National Provider Identifier is 1861467607, issued on Feb 22, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Apple Valley, CA. The record was last updated on May 16, 2023.