Active NPI
Total Renal Care Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Jose, CA
National Provider Identifier
1083883664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- TOTAL RENAL CARE INC
- Doing business as
- San Jose at Home
- Practice address
- 4400 Stevens Creek Blvd
Ste 50
San Jose, CA 95129-1104 - Phone
- (408) 985-2011
- Fax
- (408) 985-2016
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam T Wey
- Title
- VP Licensure&Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
4400 Stevens Creek Blvd
Ste 50
San Jose, CA 95129-1104
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 238-3085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083883664 | Medicaid | CA |
Other names 1
- San Jose at Home
National Provider Directory
National Provider DirectoryLocations
4400 Stevens Creek Blvd
San Jose, CA 95129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707091200000",
"number": "1083883664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-238-3085",
"fax_number": "800-268-9682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 STEVENS CREEK BLVD",
"address_2": "STE 50",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951291104",
"telephone_number": "408-985-2011",
"fax_number": "408-985-2016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL RENAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP LICENSURE&CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083883664",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "San Jose at Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "San Jose at Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.