Active NPI
Dialysis Newco LLC
Doing business as U.S. Renal Care Chula Vista Broadway Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DIALYSIS NEWCO LLC
- Doing business as
- U.S. Renal Care Chula Vista Broadway Dialysis
- Practice address
- 1181 Broadway
Suite 5
Chula Vista, CA 91911-2749 - Phone
- (619) 585-0016
- Fax
- (619) 585-0410
- NPI assigned
- Mar 28, 2012
- Last updated
- Jan 4, 2021
- Organization subpart
- Yes
- Parent organization
- U.S. RENAL CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L. Weinberg
- Title
- Authorized Official
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | CA | Primary |
Addresses
Primary practice location
1181 Broadway
Suite 5
Chula Vista, CA 91911-2749
Mailing address
PO Box 251549
Plano, TX 75025-1500
Phone (615) 777-8201
Other names 1
- U.S. Renal Care Chula Vista Broadway Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120523000285 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 4789857905 | Practice locations: Chula Vista, CA |
Other NPIs with the same Medicare PAC ID 16
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba U.S. Renal Care Oceanside Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oceanside, CA
- NPI 1629344015
4789857905
-
dba U.S. Renal Care Latrobe Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1023384542
4789857905
-
dba U.S. Renal Care Scottsdale Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1053696674
4789857905
-
dba U.S. Renal Care Greenville Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Greenville, SC
- NPI 1114200607
4789857905
-
dba U.S. Renal Care Northwest Indianapolis Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Indianapolis, IN
- NPI 1144503624
4789857905
-
dba U.S. Renal Care Avondale Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Avondale, AZ
- NPI 1144503699
4789857905
-
dba U.S. Renal Care West El Paso Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- El Paso, TX
- NPI 1275816779
4789857905
-
dba U.S. Renal Care Northeast Phoenix Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Phoenix, AZ
- NPI 1326321886
4789857905
-
dba U.S. Renal Care Greenwood Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Greenwood, IN
- NPI 1427331909
4789857905
-
dba U.S. Renal Care Lyman Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lyman, SC
- NPI 1528311511
4789857905
-
dba U.S. Renal Care Bryan Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bryan, TX
- NPI 1578839080
4789857905
-
dba U.S. Renal Care South Phoenix Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Phoenix, AZ
- NPI 1588947048
4789857905
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0946461 | Dialysis Newco, LLC | Certificate of waiver | May 26, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Dialysis Newco Inc
- Part of
- US Renal Care Inc
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
dba U.S. Renal Care Oceanside Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oceanside, CA
- NPI 1629344015
-
dba FMC Dialysis Services of Kapolei
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kapolei, HI
- NPI 1962514760
-
dba U.S. Renal Care Latrobe Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1023384542
-
dba U.S. Renal Care Scottsdale Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1053696674
-
dba U.S. Renal Care Greenville Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Greenville, SC
- NPI 1114200607
-
dba U.S. Renal Care Northwest Indianapolis Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Indianapolis, IN
- NPI 1144503624
-
dba U.S. Renal Care Avondale Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Avondale, AZ
- NPI 1144503699
-
dba U.S. Renal Care West El Paso Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- El Paso, TX
- NPI 1275816779
-
dba U.S. Renal Care Northeast Phoenix Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Phoenix, AZ
- NPI 1326321886
-
dba U.S. Renal Care Greenwood Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Greenwood, IN
- NPI 1427331909
-
dba U.S. Renal Care Lyman Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lyman, SC
- NPI 1528311511
-
dba U.S. Renal Care Bryan Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bryan, TX
- NPI 1578839080
Locations
1181 Broadway
Ste 5
Chula Vista, CA 91911
Phone (619) 585-0016
1811 Broadway
Ste 5
Chula Vista, CA 91911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609718400000",
"number": "1275809840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251549",
"city": "PLANO",
"state": "TX",
"postal_code": "750251500",
"telephone_number": "615-777-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 BROADWAY",
"address_2": "SUITE 5",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112749",
"telephone_number": "619-585-0016",
"fax_number": "619-585-0410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYSIS NEWCO LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2012-03-28",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "U.S. Renal Care Chula Vista Broadway Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "U.S. Renal Care Chula Vista Broadway Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.