Llano Dialysis LLC

Primary specialty

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

License

110000434 Issued in CA

Legal business name

LLANO DIALYSIS LLC

Doing business as

Vallejo Dialysis

Practice address

830 Redwood St
Vallejo, CA 94590-2942

Phone

(707) 642-2016

Fax

(707) 642-2023

NPI assigned

Jun 16, 2009

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

• Vallejo Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Llano Dialysis LLC

  dba El Cerrito Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • El Cerrito, CA
  • NPI 1063649242

  9537211131

  Same PAC ID
• Llano Dialysis LLC

  dba Oakland Peritoneal Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oakland, CA
  • NPI 1568699882

  9537211131

  Same PAC ID
• Llano Dialysis LLC

  dba San Pablo Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Pablo, CA
  • NPI 1790912970

  9537211131

  Same PAC ID

Listed as

DaVita Vallejo DialysisCCN 052567

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Aug 7, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

19

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

CLIA laboratory certificates

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.

• Llano Dialysis LLC

  dba Carquinez Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vallejo, CA
  • NPI 1053548362
  NPD tax ID
• Llano Dialysis LLC

  dba El Cerrito Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • El Cerrito, CA
  • NPI 1063649242
  NPD tax ID
• Llano Dialysis LLC

  dba Benicia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Benicia, CA
  • NPI 1174750483
  NPD tax ID
• Llano Dialysis LLC

  dba Oakland Peritoneal Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oakland, CA
  • NPI 1568699882
  NPD tax ID
• Llano Dialysis LLC

  dba San Pablo Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Pablo, CA
  • NPI 1790912970
  NPD tax ID

Member of 2

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

• Dva Healthcare Renal Care Inc

  dba Pearsall Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pearsall, TX
  • NPI 1194789859

  Member Of

  NPD member
• Dva Renal Healthcare Inc

  dba Pageland Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pageland, SC
  • NPI 1548222615

  Member Of

  NPD member

Affiliated clinicians 2

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

• Claudia I Iota-Herbei

  • Nephrology Physician
  • Berkeley, CA
  • NPI 1548367113

  Dialysis facility

  Care Compare affiliation Name & address match
• Nagarathna G. Manjappa, MD

  • Nephrology Physician
  • Napa, CA
  • NPI 1710093349

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1265669444",
    "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": "830 REDWOOD ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902942",
            "telephone_number": "707-642-2016",
            "fax_number": "707-642-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLANO DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "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": "110000434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265669444",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vallejo Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vallejo Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liricare, Inc.
• Howard Liu, DDS
• Valerie Liu, DO
• Lawrence Peralta Liwanag, PT
• Llano Dialysis LLC (Carquinez Dialysis)
• Jessieca Llave, RRT
• Lili Lloyd
• LMB Therapy Associates
• Robert Lo, RRT/RCP
• Samantha Lo

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Vallejo, CA
• Providers in Vallejo, 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 Dec 19, 2025; 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.