University Dialysis Center LLC

Primary specialty

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

License

110000445 Issued in CA

Legal business name

UNIVERSITY DIALYSIS CENTER LLC

Practice address

333 University Ave
Ste 100
Sacramento, CA 95825-6533

Phone

(916) 920-0877

Fax

(916) 920-1931

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Samuel T. Wey, AO

Title

Sr Director Licensure&Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• University Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita University Dialysis CenterCCN 552549

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Feb 22, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

21

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

University Dialysis Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• University Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sacramento, CA
  • NPI 1124081195
  NPD tax ID

Member of 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jessenia Ariana Contreras, MD, MPH

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
  • NPI 1083236319

  Dialysis facility

  Care Compare affiliation Name & address match
• Nandakishor Kapa, MD

  • Nephrology Physician
  • Sacramento, CA
  • NPI 1437680261

  Dialysis facility

  Care Compare affiliation Name & address match
• Ratnaji Babu Nallamothu, M.D.

  • Specialist
  • Sacramento, CA
  • NPI 1407877608

  Dialysis facility

  Care Compare affiliation Name & address match
• Satpreet Singh Sekhon, M.D.

  • Nephrology Physician
  • Sacramento, CA
  • NPI 1093877417

  Dialysis facility

  Care Compare affiliation Name & address match
• Jin-Yon Jeany Kim, MD

  • Nephrology Physician
  • Memphis, TN
  • NPI 1609063387

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1154415982",
    "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": "333 UNIVERSITY AVE",
            "address_2": "STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256533",
            "telephone_number": "916-920-0877",
            "fax_number": "916-920-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SR DIRECTOR LICENSURE&CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "110000445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR02530G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Universal Med Express, LLC
• Universal Medical Clinic, LLP
• Universal Medtrans, Inc.
• University Audiologic Inc.
• University California Davis Medical Center, University Dental Assoc
• University Dialysis Center, LLC
• University of Caifornia, Davis Medical Center
• University of California Davis
• University of California Davis Medical Center
• University of California Davis Medical Center

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sacramento, CA
• Providers in Sacramento, 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 Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.