Sula Dialysis, LLC

Primary specialty

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

Legal business name

SULA DIALYSIS, LLC

Practice address

78030 Wildcat Dr
Ste 102
Palm Desert, CA 92211-1116

Phone

(760) 772-5608

Fax

(760) 345-8973

NPI assigned

Jun 8, 2016

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

• Desert Sands Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Desert Sands Home TrainingCCN 552840

Overall star rating

4.0 of 5

Ownership

Profit

Certified

May 8, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

6

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.

• Narendra Shashibushan Chandrashekar, M.D.

  • Nephrology Physician
  • Indio, CA
  • NPI 1598715476

  Dialysis facility

  Care Compare affiliation Name & address match
• Carrie R Minnelli, MD

  • Nephrology Physician
  • Palm Springs, CA
  • NPI 1518299411

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1346699600",
    "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": "78030 WILDCAT DR",
            "address_2": "STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922111116",
            "telephone_number": "760-772-5608",
            "fax_number": "760-345-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULA DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346699600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Sands Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desert Sands Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Richard L Styler, DC
• Jeronimo Subayar
• Gregory Suchin, DPT
• Veronica Sumi
• Suncrest Healthcare
• Jessica L Super, PT, DPT, CSCS
• Susanne Armstrong Investments LLC
• Megan Kellie Suwara, FNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Palm Desert, CA
• Providers in Palm Desert, 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 Mar 17, 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.