NPIMap

Organization Active NPI

Total Renal Care Inc

Doing business as Wasco Prison Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wasco, CA
National Provider Identifier
1619394418
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
TOTAL RENAL CARE INC
Doing business as
Wasco Prison Dialysis
Practice address
701 Scofield Ave
Wasco, CA 93280-7515
Phone
(661) 758-7668
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Nicole Clarke
Title
Assistant Regional Revenue Manager
Phone
(949) 930-6874

Specialties & licenses 1

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

Addresses

Primary practice location

701 Scofield Ave
Wasco, CA 93280-7515

Mailing address

15253 Bake Pkwy
Irvine, CA 92618-2502
Phone (949) 930-4400

Other names 1

  • WASCO PRISON DIALYSIS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davita Upstate Dialysis758 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1619394418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15253 BAKE PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182502",
            "telephone_number": "949-930-4400",
            "fax_number": "866-639-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SCOFIELD AVE",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932807515",
            "telephone_number": "661-758-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ASSISTANT REGIONAL REVENUE MANAGER",
        "authorized_official_telephone_number": "949-930-6874"
    },
    "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": "WASCO PRISON DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.