Organization
TOTAL RENAL CARE INC
Active
Organization
TOTAL RENAL CARE INC
Active
Other names
Pleasanton 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
5720 STONERIDGE MALL RD, STE 160, PLEASANTON, CA 94588-2882
(925) 737-0120
(925) 737-0155
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
140000217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194788273
—
CA
Enumeration date
04/10/2006
Last updated
07/16/2024
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