Organization
STEWART DIALYSIS LLC
Active
Other names
Richmond 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
4200 MACDONALD AVE, STE A, RICHMOND, CA 94805-2315
(510) 236-8861
(510) 236-2563
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
550001670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205135340
—
CA
Enumeration date
03/15/2011
Last updated
04/07/2026
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