Organization
RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RAI - E. 14TH STREET - SAN LEANDRO
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
198 E 14TH ST, SAN LEANDRO, CA 94577-1652
(510) 430-8311
(510) 430-8911
Mailing address
610 HAGENBERGER AVE, SUITE 101A, OAKLAND, CA 94621
(510) 430-8311
(510) 430-8911
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
01
—
03
KAISER
CA
01
—
052742
BLUE CROSS OF CALIFORNIA
CA
05
—
CDC02742I
—
CA
01
—
ZZZR0224Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/20/2006
Last updated
10/17/2023
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