Organization Active NPI

Paukert Dialysis Inc

Doing business as Napa Valley Community Dialysis Center Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Napa, CA
National Provider Identifier
1023070273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
PAUKERT DIALYSIS INC
Doing business as
Napa Valley Community Dialysis Center Inc
Practice address
1100 Trancas St
Suite #267
Napa, CA 94558
Phone
(707) 224-6533
Fax
(707) 224-6535
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sheryle E Paukert, RN NP
Title
Owner Administrator
Phone
(707) 224-6533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1100 Trancas St
Suite #267
Napa, CA 94558

Mailing address

1100 Trancas St
Suite #267
Napa, CA 94558
Phone (707) 224-6533

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ47696ZOtherCABLUE SHIELD PROVIDER ID
1764OtherCAPHC
CDC70009FMedicaidCA

Other names 1

  • Napa Valley Community Dialysis Center Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023070273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST",
            "address_2": "SUITE #267",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-224-6533",
            "fax_number": "707-224-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST",
            "address_2": "SUITE #267",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-224-6533",
            "fax_number": "707-224-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUKERT DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAUKERT",
        "authorized_official_first_name": "SHERYLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "707-224-6533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN NP"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID",
            "identifier": "ZZZ47696Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHC",
            "identifier": "1764",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC70009F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Napa Valley Community Dialysis Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.