Llano Dialysis LLC

Primary specialty

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

Legal business name

LLANO DIALYSIS LLC

Doing business as

Oakland Peritoneal Dialysis Center

Practice address

5352 Claremont Ave
Oakland, CA 94618-1035

Phone

(510) 597-0398

Fax

(510) 597-0385

NPI assigned

Jun 12, 2009

Last updated

Sep 16, 2024By the provider in NPPES

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

• Oakland Peritoneal Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Llano Dialysis LLC

  dba El Cerrito Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • El Cerrito, CA
  • NPI 1063649242

  9537211131

  Same PAC ID
• Llano Dialysis LLC

  dba Vallejo Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vallejo, CA
  • NPI 1265669444

  9537211131

  Same PAC ID
• Llano Dialysis LLC

  dba San Pablo Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Pablo, CA
  • NPI 1790912970

  9537211131

  Same PAC ID

Listed as

DaVita Oakland Peritoneal Dialysis CenterCCN 052822

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Mar 10, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Llano Dialysis LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Llano Dialysis LLC

  dba Carquinez Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vallejo, CA
  • NPI 1053548362
  NPD tax ID
• Llano Dialysis LLC

  dba El Cerrito Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • El Cerrito, CA
  • NPI 1063649242
  NPD tax ID
• Llano Dialysis LLC

  dba Benicia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Benicia, CA
  • NPI 1174750483
  NPD tax ID
• Llano Dialysis LLC

  dba Vallejo Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vallejo, CA
  • NPI 1265669444
  NPD tax ID
• Llano Dialysis LLC

  dba San Pablo Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Pablo, CA
  • NPI 1790912970
  NPD tax ID

Member of 2

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

• Dva Healthcare Renal Care Inc

  dba Amelia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Amelia Court House, VA
  • NPI 1861456113

  Member Of

  NPD member
• Dva Renal Healthcare Inc

  dba Florissant Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1740241454

  Member Of

  NPD member

Affiliated clinicians 2

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

• Oliver K Khakmahd, MD

  • Nephrology Physician
  • Berkeley, CA
  • NPI 1164529830

  Dialysis facility

  Care Compare affiliation Name & address match
• Guoping Xu, MD

  • Nephrology Physician
  • Oakland, CA
  • NPI 1932271681

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1568699882",
    "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": "5352 CLAREMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181035",
            "telephone_number": "510-597-0398",
            "fax_number": "510-597-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLANO DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568699882",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Peritoneal Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oakland Peritoneal Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Lizarraga
• Samantha Lizer, PA
• Daniel A Lizotte
• Rosario Vanessa Llamas
• Llano Dialysis LLC (Alameda County Dialysis)
• Briana Llanos
• Amanda May Llarena, LVN
• Katiah Llerena, PH.D.
• Duncan Seth Lloyd
• Elisha Lloyd

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oakland, CA
• Providers in Oakland, 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 16, 2024; 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.