NPIMap

Organization Active NPI

Renal Treatment Centers California Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fairfield, CA
National Provider Identifier
1174201404
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RENAL TREATMENT CENTERS CALIFORNIA INC.
Practice address
4670 Central Way Ste D
Fairfield, CA 94534-1806
Phone
(615) 341-6282
NPI assigned
Jul 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Sam T Wey
Title
VP License & Certification
Phone
(615) 341-6691

Specialties & licenses 1

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

Addresses

Primary practice location

4670 Central Way Ste D
Fairfield, CA 94534-1806

Mailing address

5200 Virginia Way
Attn: L&C Department
Brentwood, TN 37027-7569
Phone (615) 341-6282

Other names 1

  • Sunflower Home Training Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250218003106 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 1951218858 Practice locations: Fairfield, CA

Other NPIs with the same Medicare PAC ID 20

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

View all 20

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita SUNFLOWER HOME TRAININGCCN 752612
Ownership
Profit
Certified
Nov 6, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita
Dialysis stations
1

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2292163Sunflower Home Training4670 Central Way Suite D, Fairfield, CA 94534Certificate of waiverOct 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Renal Treatment Centers California Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

595 Tamarack Ave
Ste A
Brea, CA 92821
Phone (714) 990-0110

1820 Fullerton Ave
#180
Corona, CA 92881
Phone (951) 736-6660

4670 Central Way
Ste D
Fairfield, CA 94534
Phone (707) 470-0809

244 Peckham Ct
Lakeport, CA 95453
Phone (707) 253-7005

10780 Santa Monica Blvd
Ste 408
Los Angeles, CA 90025
Phone (310) 234-0400

3680 E Imperial Hwy
#2
Lynwood, CA 90262
Phone (310) 900-0333

2455 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 527-0052

4041 University Pkwy
San Bernardino, CA 92407
Phone (909) 887-0173

401 E Highland Ave
Ste B
Sn Bernrdno, CA 92404
Phone (909) 881-1878

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1174201404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATTN: L&C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6282",
            "fax_number": "866-510-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 CENTRAL WAY STE D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341806",
            "telephone_number": "615-341-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS CALIFORNIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6691"
    },
    "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": "Sunflower Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunflower Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.