Anaheim-Buena Park Regional Dialysis Center LLC

Primary specialty

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

Legal business name

ANAHEIM-BUENA PARK REGIONAL DIALYSIS CENTER LLC

Doing business as

Anaheim-Buena Park Regional Dialysis Center

Practice address

3356 W Ball Rd Ste 110
Anaheim, CA 92804-3727

Phone

(714) 226-0818

Fax

(714) 226-0999

NPI assigned

Mar 30, 2011

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 names 1

• Anaheim-Buena Park Regional Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Anaheim Buena Park Regional Dialysis CenterCCN 752602

Ownership

Profit

Certified

Jun 19, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

21

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

  dba Cascade Dialysis

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

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asha R. Ravikumar, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1124240874
  NPD (past)

Affiliated clinicians 2

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

• Samir Patel, MD

  • Nephrology Physician
  • Garden Grove, CA
  • NPI 1427519552

  Dialysis facility

  Care Compare affiliation Name & address match
• Asha R. Ravikumar, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1124240874

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1386933349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 W BALL RD STE 110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043727",
            "telephone_number": "714-226-0818",
            "fax_number": "714-226-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM-BUENA PARK REGIONAL DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim-Buena Park Regional Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anaheim Union High School District CHDP Clinic
• Anaheim Urgent Care, Inc (Anaheim Urgent Care)
• Anaheim Urgent Care, Inc.
• Anaheim Urologic Medical Group, Inc
• Anaheim Villa Inc. (Anaheim Villa)
• Anaheimdentalcare
• Anahiem Memorial Medical Center
• Anamika Recovery Center, Inc.
• Anatomical Impairment Medical Group, Inc
• Anaton Podiatric Surgical Group

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Anaheim, CA
• Providers in Anaheim, 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 1, 2026; 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.