Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Huntington Beach, CA

NPI number 1972577914 Active

Practice location

16892 Bolsa Chica St, Ste 100
Huntington Beach, CA 92649-3571

Call (714) 846-2102 Map

Fax (714) 846-8053

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	080000686 (CA)

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

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NPI record

NPI: 1972577914
Entity type: Organization (Type 2)
Issued: Feb 15, 2006
Last updated: May 13, 2026
Status: Active

Other names

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Huntington Beach Dialysis · doing business as
Huntington Beach 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 1972577914

Dva Renal Healthcare Inc's National Provider Identifier is 1972577914, 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 Huntington Beach, CA. The record was last updated on May 13, 2026.