NPIMap

Organization Active NPI

Llano Dialysis LLC

Doing business as Benicia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Benicia, CA
National Provider Identifier
1174750483
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
LLANO DIALYSIS LLC
Doing business as
Benicia Dialysis
Practice address
560 1St St Ste 103
BLDG D
Benicia, CA 94510-3295
Phone
(707) 745-1488
Fax
(707) 745-8089
NPI assigned
Jun 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Authorized official

Name
James K Hilger
Title
Vice President
Phone
(253) 382-1919

Specialties & licenses 1

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

Addresses

Primary practice location

560 1St St Ste 103
BLDG D
Benicia, CA 94510-3295

Mailing address

5200 Virginia Way
Ste 400 L&C Dept
Brentwood, TN 37027-7569
Phone (615) 320-4521

Other names 1

  • Benicia Dialysis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Llano Dialysis LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

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

Locations

560 1st St
Ste D103
Benicia, CA 94510
Phone (707) 745-1488

830 Redwood St
Vallejo, CA 94590
Phone (510) 853-6245

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1174750483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "STE 400 L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 1ST ST STE 103",
            "address_2": "BLDG D",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103295",
            "telephone_number": "707-745-1488",
            "fax_number": "707-745-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLANO DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "253-382-1919"
    },
    "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": "Benicia Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benicia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.