Active NPI
Rai Care Centers of Southern California II, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oceanside, CA
National Provider Identifier
1427122191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RAI CARE CENTERS OF SOUTHERN CALIFORNIA II, LLC
- Practice address
- 2227B S El Camino Real
Oceanside, CA 92054-6318 - Phone
- (760) 757-1838
- Fax
- (760) 757-6693
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon M Sundock
- Title
- Vice President
- Phone
- (615) 507-3307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2227B S El Camino Real
Oceanside, CA 92054-6318
Mailing address
1550 W. McEwen Drive
Suite 500
Franklin, TN 37067-1731
Phone (615) 661-1100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZR0217Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 052834 | Other | CA | BLUE CROSS OF CALIFORNIA |
| CDC02834G | Medicaid | CA |
Other names 1
- RAI-El Camino Real-Oceanside
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wilmington, DE
- NPI 1679677546
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297296000000",
"number": "1427122191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 W. MCEWEN DRIVE",
"address_2": "SUITE 500",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370671731",
"telephone_number": "615-661-1100",
"fax_number": "615-507-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227B S EL CAMINO REAL",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546318",
"telephone_number": "760-757-1838",
"fax_number": "760-757-6693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAI CARE CENTERS OF SOUTHERN CALIFORNIA II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2011-02-10",
"status": "A",
"authorized_official_last_name": "SUNDOCK",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "615-507-3307",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZR0217Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CALIFORNIA",
"identifier": "052834",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CDC02834G",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RAI-El Camino Real-Oceanside",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.