Fresenius Medical Care San Bernardino, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE SAN BERNARDINO, LLC

Doing business as

Fresenius Kidney Care Colton Home

Practice address

952 S Mount Vernon Ave Ste C
Colton, CA 92324-4224

Phone

(909) 804-3138

Fax

(909) 424-9791

NPI assigned

Feb 5, 2024

Last updated

Aug 28, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other names 1

• FRESENIUS KIDNEY CARE COLTON HOME Doing business as

Electronic endpoints 1

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).

• Fresenius Medical Care San Bernardino, LLC

  dba Fresenius Kidney Care Juniper Fontana

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fontana, CA
  • NPI 1710643168

  1951763317

  Same PAC ID

Listed as

FKC Colton HomeCCN 752613

Ownership

Profit

Certified

May 7, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Tax ID family

Ability Network2 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.

• Fresenius Medical Care San Bernardino, LLC

  dba Fresenius Kidney Care Juniper Fontana

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fontana, CA
  • NPI 1710643168
  NPD tax ID

Member of 2

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

• Bio-Medical Applications of California, Inc.

  dba FMC Dialysis Services West Los Angeles

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Inglewood, CA
  • NPI 1881706687

  Member Of

  NPD member
• National Medical Care, Inc.

  dba Renal Care Center (RCC) of Johnson City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Johnson City, TN
  • NPI 1215049044

  Member Of

  NPD member

Locations

Affiliated clinicians 1

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

• Matthew Kaptein, M.D.

  • Nephrology Physician
  • Loma Linda, CA
  • NPI 1184995094

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1174386866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 S MOUNT VERNON AVE STE C",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244224",
            "telephone_number": "909-804-3138",
            "fax_number": "909-424-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 S MOUNT VERNON AVE STE C",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244224",
            "telephone_number": "909-804-3138",
            "fax_number": "909-424-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE SAN BERNARDINO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRESENIUS KIDNEY CARE COLTON HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Franco
• Carol Frazier, LVN
• Frederick Lopez LLC
• Frederick Lopez Psychological Services, P.C.
• Kaleb Freeman
• Theodore Arthur Friedman, M.D.
• Andrew Frierson, DO
• Lordina Frimpong
• Alexis Gabriella Frisbee-Tovar
• Wade Garret Fueconcillo

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colton, CA
• Providers in Colton, 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 Aug 28, 2026; 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.