Organization
TOTAL RENAL CARE INC
Active
Other names
San Mateo Mills Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
159 2ND AVE, SAN MATEO, CA 94401-3801
(650) 715-5001
(650) 175-5028
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
550001607
CA
Other
Enumeration date
04/19/2011
Last updated
07/10/2025
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