Organization
SAPELO DIALYSIS LLC
Active
Other names
San Leandro Marina Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2551 MERCED ST, SAN LEANDRO, CA 94577-4207
(510) 352-1207
(510) 352-1294
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
550002586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316687954
—
CA
Enumeration date
06/27/2013
Last updated
10/13/2025
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