Organization
DIALYSIS ACCESS CENTER A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS TURNER (AUTHORIZED OFFICIAL)
(510) 251-1002
Entity
Organization
Contact information
Practice address
3012 SUMMIT ST, D WING, OAKLAND, CA 94609-3480
(510) 251-1002
(510) 251-1034
Mailing address
PO BOX 883528, LOS ANGELES, CA 90088-3528
(510) 251-1002
(510) 251-1034
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK8947
RAILROAD MEDICARE NUMBER
CA
05
—
GR0094080
—
CA
01
—
ZZZ06991Z
BLUESHIELD GROUP #
CA
Enumeration date
11/01/2006
Last updated
10/12/2023
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