Organization
RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RAI - SECRET RAVINE PARKWAY - ROSEVILLE
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
1451 SECRET RAVINE PKWY STE 130, ROSEVILLE, CA 95661-6052
(916) 773-4000
(916) 773-0473
Mailing address
1451 SECRET RAVINE PKWY STE 130, ROSEVILLE, CA 95661-6052
(916) 773-4000
(916) 773-0473
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
—
552540
BLUE CROSS OF CALIFORNIA
CA
05
—
CDC52540G
—
CA
01
—
ZZZR0197Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/20/2006
Last updated
10/24/2023
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