Dsi Apple Valley Home Dialysis, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DSI APPLE VALLEY HOME DIALYSIS, LLC

Doing business as

U.S. Renal Care Victorville Home Dialysis

Practice address

17125 Silica Dr Ste 102
Victorville, CA 92395-7715

Phone

(760) 843-6752

Fax

(760) 843-8323

NPI assigned

May 20, 2016

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Victorville Home Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dsi Apple Valley Home Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Victorville, CA
  • NPI 1588202378

  1052608601

  Same PAC ID

Tax ID family

Dsi Apple Valley Home Dialysis LLC2 organizations share this tax ID, including this one

Part of

US Renal Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dsi Apple Valley Home Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Victorville, CA
  • NPI 1588202378
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Newco LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Viera, FL
  • NPI 1982970554

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1073960845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 LEGACY CIR STE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245982",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17125 SILICA DR STE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957715",
            "telephone_number": "760-843-6752",
            "fax_number": "760-843-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSI APPLE VALLEY HOME DIALYSIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2016-05-20",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Victorville Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U.S. Renal Care Victorville Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Rusen Victorville Friendly Smiles Dental Inc.
• Dr.Juliane Lee,Optometrist, a Professional Corporation
• Dr'S Hattar & Salman Dental
• Crystal Draper
• DRS Wells and Newton
• Dsi Apple Valley Home Dialysis, LLC
• Melinda Duch
• Angela Duffey
• Stephanie Duggan
• James Jeffrey Duke, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.