Clearee Dialysis LLC

Primary specialty

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

License

550002353 Issued in CA

Legal business name

CLEAREE DIALYSIS LLC

Practice address

720 N I St
Madera, CA 93637-3079

Phone

(559) 664-8780

Fax

(559) 664-8971

NPI assigned

Nov 15, 2012

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

• North Madera Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita North Madera DialysisCCN 552729

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Jul 25, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

20

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 1

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

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Castle Rock, CO
  • NPI 1386928430

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Ibrahim Katibah, MD

  • Nephrology Physician
  • Fresno, CA
  • NPI 1053838987

  Dialysis facility

  Care Compare affiliation Name & address match
• Gregory Martinez, M.D.

  • Nephrology Physician
  • Fresno, CA
  • NPI 1982863098

  Dialysis facility

  Care Compare affiliation Name & address match
• Sheikh Mohammad Masood, M.D.

  • Nephrology Physician
  • Madera, CA
  • NPI 1669422812

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1649514654",
    "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": "720 N I ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373079",
            "telephone_number": "559-664-8780",
            "fax_number": "559-664-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAREE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "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": "CA",
            "license": "550002353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649514654",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Madera Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Madera Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Jason-Fong Chu, DO
• Jill Lynlee Cielnicky, NP
• Perla Rubi Cisneros Chacon
• Shila Chantel Cisneros
• Ashley B Clark, PHARM.D.
• Cleveland Pharmacy Inc
• Cleveland Pharmacy Inc
• Bethany Ranay Cline
• Clinic Pharmacies III LLC
• Margaret Cobbey

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Madera, CA
• Providers in Madera, 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 Jun 19, 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.