Organization
TOTAL RENAL CARE INC
Active
Other names
Manzanita Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4005 MANZANITA AVE STE 17, CARMICHAEL, CA 95608-1779
(916) 483-3241
(916) 483-6347
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110000452
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134182561
—
CA
Enumeration date
04/07/2006
Last updated
07/15/2025
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