Organization
RENAL TREATMENT CENTERS CALIFORNIA INC
Active
Other names
Fairfield 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
4660 CENTRAL WAY, FAIRFIELD, CA 94534-1803
(707) 863-7369
(707) 863-7384
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110000438
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396704771
—
CA
Enumeration date
03/22/2006
Last updated
05/01/2026
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