NPIMap

Organization Active NPI

Davita

  • Peritoneal Dialysis Registered Nurse
  • Merced, CA
National Provider Identifier
1215523832
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peritoneal Dialysis Registered NurseTaxonomy code 163WD1100X
Legal business name
DAVITA
Practice address
464 E Yosemite Ave Ste B
Merced, CA 95340-8489
Phone
(209) 205-1126
Fax
(209) 205-1130
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Leizyl Estrada RacionNPI 1477217008
Title
RN
Phone
(209) 205-1126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peritoneal Dialysis Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WD1100X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

464 E Yosemite Ave Ste B
Merced, CA 95340-8489

Mailing address

464 E Yosemite Ave Ste B
Merced, CA 95340-8489
Phone (209) 205-1126

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Leizyl.Racion@davita.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: leizyl.racion@davita.com

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1215523832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 E YOSEMITE AVE STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408489",
            "telephone_number": "209-205-1126",
            "fax_number": "209-205-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 E YOSEMITE AVE STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408489",
            "telephone_number": "209-205-1126",
            "fax_number": "209-205-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "RACION",
        "authorized_official_first_name": "LEIZYL",
        "authorized_official_middle_name": "ESTRADA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "209-205-1126"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Leizyl.Racion@davita.com",
            "affiliation": "N",
            "endpointDescription": "Davita",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Dialysis",
            "address_1": "464 E Yosemite Ave Ste B",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953408489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.