Patch Dialysis LLC

Primary specialty

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

Legal business name

PATCH DIALYSIS LLC

Doing business as

Northwest Fresno Dialysis

Practice address

4753 W Shaw Ave
Fresno, CA 93722-6209

Phone

(559) 277-8738

Fax

(559) 277-3465

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 382-1919

Specialties & licenses 1

Addresses

Other names 1

• Northwest Fresno Dialysis Doing business as

Locations

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1174804959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT 4TH FL",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-5895",
            "fax_number": "866-890-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226209",
            "telephone_number": "559-277-8738",
            "fax_number": "559-277-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCH DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "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": "Northwest Fresno Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lesley Carolyn Gabay Pasok, PHARMD
• Mark Ferrero Pasquini, RN
• Britney Rubi Pastrano Romero
• Shirisha Pasula, MD
• Kelly Pataca
• Patel Foundation for Natural Medicine
• Ajay V Patel
• Anik Patel
• Anoli Vitthal Patel
• Dhara Devendrakumar Patel

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fresno, CA
• Providers in Fresno, 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 6, 2013; 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.