West Sacramento Dialysis LLC

Primary specialty

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

Legal business name

WEST SACRAMENTO DIALYSIS LLC

Doing business as

West Sacramento Dialysis Center

Practice address

3450 Industrial Blvd
Ste 100
West Sacramento, CA 95691-5053

Phone

(916) 371-4947

Fax

(916) 371-8845

NPI assigned

Mar 7, 2007

Last updated

Apr 24, 2025By 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

• West Sacramento Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita West Sacramento Dialysis CenterCCN 552591

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Nov 7, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

21

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

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member
• Total Renal Care Inc

  dba Kenwood Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1831896364

  Member Of

  NPD member

Locations

Affiliated clinicians 5

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

• Anthony Alvarado, MD

  • Nephrology Physician
  • Sacramento, CA
  • NPI 1497906374

  Dialysis facility

  Care Compare affiliation Name & address match
• Shubha Ananthakrishnan, MD

  • Nephrology Physician
  • Sacramento, CA
  • NPI 1275633869

  Dialysis facility

  Care Compare affiliation Name & address match
• Jasminder Singh Momi, MD

  • Nephrology Physician
  • Yuba City, CA
  • NPI 1952459869

  Dialysis facility

  Care Compare affiliation Name & address match
• Ratnaji Babu Nallamothu, M.D.

  • Specialist
  • Sacramento, CA
  • NPI 1407877608

  Dialysis facility

  Care Compare affiliation Name & address match
• Harkanwal Dhillon, M.D.

  • Nephrology Physician
  • Cuyahoga Falls, OH
  • NPI 1538327721

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1598896250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: 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": "3450 INDUSTRIAL BLVD",
            "address_2": "STE 100",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915053",
            "telephone_number": "916-371-4947",
            "fax_number": "916-371-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SACRAMENTO DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "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": "1598896250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Sacramento Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Sacramento Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Ann Welcher, NURSE PRACTITIONER
• Valerie Welk, MA
• David Wayne Weller, FNP
• Wellspace Health
• West Sac Medical Group Inc (West Sacramento Urgent Care)
• West Sacramento Nursing and Rehabilitation Center
• West Sacramento Primary Care Inc. (West Sacramento Primary Care)
• West Sacramentopediatric Medical Group,Inc
• Ramillies Dwayne Whitfield
• Travis Whitted

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Sacramento, CA
• Providers in West Sacramento, 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 Apr 24, 2025; 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.