Organization · Type 2 NPI

Dva Renal Healthcare Inc

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

NPI number 1962476606 Active

Practice location

23141 Plaza Pointe Dr
Laguna Hills, CA 92653-1425

Call (949) 588-9211 Map

Fax (949) 588-9299

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	080000693 (CA)

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

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NPI record

NPI: 1962476606
Entity type: Organization (Type 2)
Issued: Feb 16, 2006
Last updated: Feb 25, 2026
Status: Active

Other names

<unavail>
Saddleback Dialysis · doing business as
Saddleback Dialysis · doing business as

Authorized official

Samuel T. Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1962476606

Dva Renal Healthcare Inc's National Provider Identifier is 1962476606, issued on Feb 16, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Laguna Hills, CA. The record was last updated on Feb 25, 2026.