Organization
RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
Fresenius Kidney Care North California Stockton
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
545 E CLEVELAND ST, STOCKTON, CA 95204-5531
(209) 943-0854
(209) 943-0536
Mailing address
545 E CLEVELAND ST, STOCKTON, CA 95204-5531
(209) 943-0854
(209) 943-0536
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
—
04
KAISER
CA
01
—
052705
BLUE CROSS OF CALIFORNIA
CA
05
—
1669546990
—
CA
05
—
CDC02705J
—
CA
01
—
ZZZR0196Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/20/2006
Last updated
11/02/2023
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