San Leandro Dialysis

LBN: Shayano Dialysis Llc
San Leandro Dialysis is an health care organization with primary practice located at 15555 E 14Th St Ste 520, San Leandro CA 94578-1949. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Shayano Dialysis Llc can be contacted via phone (510) 317-6510, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
15555 E 14Th St Ste 520 San Leandro CA 94578-1949
Phone: (510) 317-6510
Fax: (510) 317-6515
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T.
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 550001164 California

Profile Details

NPI number 1659513323
LBN Legal business name Shayano Dialysis Llc
DBA Doing business as San Leandro Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2009
Last updated Jul 16th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659513323 NPPES
California MEDICAID 1659513323

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