Burrill Dialysis LLC

Primary specialty

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

Legal business name

BURRILL DIALYSIS LLC

Practice address

1700 N Rose Ave Ste 370
Oxnard, CA 93030-7652

Phone

(615) 341-6282

Fax

(866) 510-6389

NPI assigned

Mar 10, 2022

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 names 1

• ST. Johns Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita St. Johns Home TrainingCCN 752589

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 19, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

1

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 3

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

• Renal Consultants of Ventura County, Inc

  • Nephrology Physician
  • Camarillo, CA
  • NPI 1932534021

  Member Of

  NPD member
• Dignity Health

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1720358039

  Member Of

  NPD member
• Total Renal Care Inc

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

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Susan S. Chang, MD

  • Nephrology Physician
  • Camarillo, CA
  • NPI 1073673273

  Dialysis facility

  Care Compare affiliation Name & address match
• Vimal Vermani, M.D.

  • Nephrology Physician
  • Ventura, CA
  • NPI 1013916279

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1639826530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6282",
            "fax_number": "866-510-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 370",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307652",
            "telephone_number": "615-341-6282",
            "fax_number": "866-510-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURRILL DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. Johns Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST. Johns Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Burdick
• Christina Lee Burke
• Shannon Michele Burke, MFT
• Kathryn H. Burnham, PA
• Krista Nicole Burns, RN
• Mona Lynn Burt
• Angela Christine Butler
• Brett Andrew Butolph
• Susan Diane Butterfoss, M.A. CCC-SLP
• Melissa Buttner, PHD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oxnard, CA
• Providers in Oxnard, 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 Jan 9, 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.