Active NPI
Bio-Medical Applications of California, Inc.
Doing business as Fresenius Medical Care McKinleyville
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- McKinleyville, CA
National Provider Identifier
1326109430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
- Doing business as
- Fresenius Medical Care McKinleyville
- Practice address
- 1550 Heartwood Dr
McKinleyville, CA 95519-3984 - Phone
- (707) 839-4465
- Fax
- (707) 839-4734
- NPI assigned
- Dec 12, 2006
- Last updated
- Oct 14, 2023
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry L. Blanton
- Title
- Vice President
- Phone
- (781) 699-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
1550 Heartwood Dr
McKinleyville, CA 95519-3984
Mailing address
1550 Heartwood Dr
McKinleyville, CA 95519-3984
Phone (707) 839-4465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55-2658 | Other | CA | PTAN |
Other names 1
- FRESENIUS MEDICAL CARE MCKINLEYVILLE
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080610000712 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1153238894 | Practice locations: McKinleyville, CA |
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 |
|---|---|---|---|
| 05D1102537 | Fresenius Medical Care- McKinleyville | Certificate of waiver | Jul 20, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Renal Care Center of North Georgia Bma
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Canton, GA
- NPI 1871605600
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697241600000",
"number": "1326109430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 HEARTWOOD DR",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955193984",
"telephone_number": "707-839-4465",
"fax_number": "707-839-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 HEARTWOOD DR",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955193984",
"telephone_number": "707-839-4465",
"fax_number": "707-839-4734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2006-12-12",
"last_updated": "2023-10-14",
"certification_date": "2023-10-14",
"status": "A",
"authorized_official_last_name": "BLANTON",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-699-9000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "55-2658",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "FRESENIUS MEDICAL CARE MCKINLEYVILLE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McKinleyville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; 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.