Tustin Dialysis Center LLC

Primary specialty

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

License

080000766 Issued in CA

Legal business name

TUSTIN DIALYSIS CENTER LLC

Doing business as

Tustin Dialysis

Practice address

2090 N Tustin Ave Ste 100
Santa Ana, CA 92705-7869

Phone

(714) 835-2450

Fax

(714) 835-5715

NPI assigned

Apr 10, 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

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tustin Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Tustin DialysisCCN 052897

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Feb 21, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

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

CLIA laboratory certificates

Member of 2

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

• Renal Treatment Centers California Inc

  dba Napa Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Napa, CA
  • NPI 1366405748

  Member Of

  NPD member
• Renal Treatment Centers Mid Atlantic Inc

  dba Rosewood Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Goldsboro, NC
  • NPI 1174086698

  Member Of

  NPD member

Locations

Practitioners 1

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

• Russell L. Ness, MD

  • Nephrology Physician
  • Garden Grove, CA
  • NPI 1770552978
  NPD (past)

Affiliated clinicians 4

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

• Steve Bui, MD

  • Nephrology Physician
  • Garden Grove, CA
  • NPI 1154390425

  Dialysis facility

  Care Compare affiliation Name & address match
• Amer Emile Jabara, M.D.

  • Nephrology Physician
  • Orange, CA
  • NPI 1760475701

  Dialysis facility

  Care Compare affiliation Name & address match
• Ramani Nathan, MD

  • Nephrology Physician
  • Garden Grove, CA
  • NPI 1487623724

  Dialysis facility

  Care Compare affiliation Name & address match
• Linh L Thong, M.D.

  • Nephrology Physician
  • Orange, CA
  • NPI 1154510386

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1174586226",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 N TUSTIN AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057869",
            "telephone_number": "714-835-2450",
            "fax_number": "714-835-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSTIN DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": "CA",
            "license": "080000766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174586226",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tustin Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tustin Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamilah Turner
• Jean Ann Turner, RAS
• Mia Turner, PA-C
• Synthia Ann Turner
• Tustin ABA Services for Kids LLC
• Tustin Hills Healthcare, Inc. (The Hills Post Acute)
• Tustin Optometric Center
• Valerie Tuttle, POLYSOMNOGRAPHY TECH
• Tydus Group (Brightside Specialty Pharmacy)
• Tate William Tyler

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, 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 Feb 26, 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.