NPIMap

Organization Active NPI

SRS - Truckee

Doing business as Sanderling Dialysis of Truckee

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Truckee, CA
National Provider Identifier
1548685746
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SRS - TRUCKEE
Doing business as
Sanderling Dialysis of Truckee
Practice address
11430 Deerfield Dr
Truckee, CA 96161-0530
Phone
(615) 467-0140
Fax
(615) 259-0693
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Dr. Jerome S Tannenbaum, M.D.NPI 1346485638
Title
Administrator
Phone
(615) 467-0140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

11430 Deerfield Dr
Truckee, CA 96161-0530

Mailing address

511 Union St Ste 1800
Nashville, TN 37219-1733
Phone (615) 467-0140

Other names 1

  • Sanderling Dialysis of Truckee Doing business as

National Provider Directory

National Provider Directory

Locations

11430 Deerfield Dr
Truckee, CA 96161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1548685746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 UNION ST STE 1800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191733",
            "telephone_number": "615-467-0140",
            "fax_number": "615-259-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 DEERFIELD DR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610530",
            "telephone_number": "615-467-0140",
            "fax_number": "615-259-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRS - TRUCKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-467-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "Sanderling Dialysis of Truckee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.