Cobbles Dialysis LLC

Primary specialty

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

License

550002656 Issued in CA

Legal business name

COBBLES DIALYSIS LLC

Practice address

3541 W 5TH St Ste a
Oxnard, CA 93030-6403

Phone

(805) 984-5140

Fax

(805) 984-5647

NPI assigned

Aug 28, 2013

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

• Channel Islands Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Channel Islands DialysisCCN 552764

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Aug 18, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

16

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

CLIA laboratory certificates

Member of 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Affiliated clinicians 2

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

• Saumil M Gandhi, M.D.

  • Nephrology Physician
  • Santa Paula, CA
  • NPI 1427057843

  Dialysis facility

  Care Compare affiliation Name & address match
• Vimal Vermani, M.D.

  • Nephrology Physician
  • Ventura, CA
  • NPI 1013916279

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1346674157",
    "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": "3541 W 5TH ST STE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306403",
            "telephone_number": "805-984-5140",
            "fax_number": "805-984-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLES DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "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": "550002656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346674157",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channel Islands Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Channel Islands Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Pediatrics Medical Group
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• Coastal Valley Communication Therapy Inc.
• Coastal Vascular Center PC
• Bianca Angelica Cobarruvias, MA, LMFT
• Yadira Y Cobian
• Angelica Michele Coburn
• Tia M Cochran-Otis, LCSW
• Cogent Healthcare of California, PC
• Selma Cogo

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oxnard, CA
• Providers in Oxnard, 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 May 8, 2024; 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.