Pismo Beach Dialysis

LBN: Total Renal Care Inc
Pismo Beach Dialysis is an health care organization with primary practice located at 320 James Way Ste 110 , Pismo Beach CA 93449-2875. 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. Total Renal Care Inc can be contacted via phone (805) 556-0577, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
320 James Way Ste 110 Pismo Beach CA 93449-2875
Phone: (805) 556-0577
Fax: (805) 556-0510
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

Profile Details

NPI number 1144539586
LBN Legal business name Total Renal Care Inc
DBA Doing business as Pismo Beach Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2010
Last updated Jun 10th, 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 1144539586 NPPES
California MEDICAID 1144539586

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