Organization
TOTAL RENAL CARE INC
Active
Other names
Mission District 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
2765 16TH ST, SAN FRANCISCO, CA 94103-4215
(628) 600-8705
(415) 873-3020
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
550001468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285942714
—
CA
Enumeration date
09/17/2010
Last updated
10/14/2025
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