Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1902870330 Active

Practice location

6535 University Ave
San Diego, CA 92115-6341

Call (619) 287-8796 Map

Fax (619) 287-4862

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	080000775 (CA)

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

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NPI record

NPI: 1902870330
Entity type: Organization (Type 2)
Issued: Feb 14, 2006
Last updated: Sep 22, 2026
Status: Active

Other names

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College Dialysis · doing business as
College 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 1902870330

Dva Renal Healthcare Inc's National Provider Identifier is 1902870330, issued on Feb 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in San Diego, CA. The record was last updated on Sep 22, 2026.