Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1881668796 Active

Practice location

360 Crown Point Cir, Ste 210
Grass Valley, CA 95945-2543

Call (530) 477-0734 Map

Fax (530) 477-0178

Mailing address

5200 Virginia Way, Att: L&c Dept.
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	110000483 (CA)

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

NPI record

NPI: 1881668796
Entity type: Organization (Type 2)
Issued: Feb 15, 2006
Last updated: Sep 24, 2025
Status: Active

Other names

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

Authorized official

Samuel T Wey, AO
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 1881668796

Dva Renal Healthcare Inc's National Provider Identifier is 1881668796, issued on Feb 15, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Grass Valley, CA. The record was last updated on Sep 24, 2025.