San Diego Dialysis Services, Inc.

Primary specialty

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

Legal business name

SAN DIEGO DIALYSIS SERVICES, INC.

Doing business as

FMC Dialysis Services of College

Practice address

5961 University Ave Ste 317
San Diego, CA 92115-6300

Phone

(619) 229-9654

Fax

(619) 286-0821

NPI assigned

Aug 31, 2006

Last updated

Aug 20, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Divito

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• FMC DIALYSIS SERVICES OF COLLEGE Doing business as

Member of 1

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

• National Medical Care, Inc.

  dba Renal Care Center (RCC) of Johnson City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Johnson City, TN
  • NPI 1215049044

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1417069212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 UNIVERSITY AVE STE 317",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156300",
            "telephone_number": "619-229-9654",
            "fax_number": "619-286-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 UNIVERSITY AVE STE 317",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156300",
            "telephone_number": "619-229-9654",
            "fax_number": "619-286-0821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 El Cajon Blvd",
            "address_2": "#110",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921154465",
            "country_code": "US",
            "telephone_number": "619-516-4803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN DIEGO DIALYSIS SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "DIVITO",
        "authorized_official_first_name": "JAMES",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMC DIALYSIS SERVICES OF COLLEGE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FMC DIALYSIS SERVICES OF COLLEGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• San Diego Dialysis Services, Inc. (Gateway Dialysis Center-West)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Diego, CA
• Providers in San Diego, 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 Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.