Organization
TOTAL RENAL CARE INC
Active
Other names
Tully Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1290 TULLY RD, STE 80, SAN JOSE, CA 95122-3069
(408) 993-8959
(408) 975-6223
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154668184
—
CA
Enumeration date
01/10/2013
Last updated
04/03/2026
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