Clover Dialysis LLC

Primary specialty

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

License

550002503 Issued in CA

Legal business name

CLOVER DIALYSIS LLC

Practice address

275 Di Salvo Ave
San Jose, CA 95128-1628

Phone

(408) 297-0103

Fax

(408) 297-2265

NPI assigned

May 16, 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

• Stevens Creek Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Stevens Creek DialysisCCN 552738

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Nov 26, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

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 2

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
  • Napa, CA
  • NPI 1295024206

  Member Of

  NPD member
• Total Renal Care Inc

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

  Member Of

  NPD member

Practitioners 1

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

• Addy Squarer, MD

  • Nephrology Physician
  • San Jose, CA
  • NPI 1679581425
  NPD (past)

Affiliated clinicians 5

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

• Archana Nishara Dhawan, M.D.

  • Nephrology Physician
  • San Jose, CA
  • NPI 1649294273

  Dialysis facility

  Care Compare affiliation Name & address match
• Alexander D Doan, MD

  • Nephrology Physician
  • San Jose, CA
  • NPI 1003859661

  Dialysis facility

  Care Compare affiliation Name & address match
• Nicholas Monaco

  • Nephrology Physician
  • San Jose, CA
  • NPI 1457404816

  Dialysis facility

  Care Compare affiliation Name & address match
• Addy Squarer, MD

  • Nephrology Physician
  • San Jose, CA
  • NPI 1679581425

  Dialysis facility

  Care Compare affiliation Name & address match
• Sheng-Yong Wang, M.D. & PH.D.

  • Nephrology Physician
  • San Jose, CA
  • NPI 1700813318

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1457797474",
    "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": "275 DI SALVO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281628",
            "telephone_number": "408-297-0103",
            "fax_number": "408-297-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "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": "550002503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457797474",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevens Creek Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stevens Creek Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terence Michael Clifton
• Natalie Marie Cline
• Nicolette Cline
• Susan Clor
• Cloud Well Acupuncture Professional Corporation
• Christa Clutter
• Emily Kong Co, P.T.
• Henry T. Co, MD
• Rebecca Coady, MS, RD
• Brenda Yvonne Coakley, MSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Jose, CA
• Providers in San Jose, 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 Sep 9, 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.