Cadiz Dialysis LLC

Primary specialty

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

Legal business name

CADIZ DIALYSIS LLC

Doing business as

Kempsville Dialysis

Practice address

1920 Centerville Turnpike
Ste 122
Virginia Beach, VA 23464-6859

Phone

(757) 502-0360

Fax

(757) 502-1206

NPI assigned

Feb 20, 2017

Last updated

Dec 6, 2023By 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

• Kempsville Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

DaVita Kempsville DialysisCCN 492719

Overall star rating

3.0 of 5

Ownership

Profit

Certified

May 17, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

17

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

  dba Cerritos Dialysis

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

  Member Of

  NPD member

Locations

Affiliated clinicians 1

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

• Liwei E. Huang, MD

  • Nephrology Physician
  • Chesapeake, VA
  • NPI 1912174939

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1679012991",
    "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",
            "telephone_number": "615-320-4214",
            "fax_number": "866-944-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CENTERVILLE TURNPIKE",
            "address_2": "STE 122",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646859",
            "telephone_number": "757-502-0360",
            "fax_number": "757-502-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADIZ DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679012991",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kempsville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kempsville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Calei Ca
• Ma Jazmine Alyssa Canlas Cabais
• Belinda Cabreja
• Taylor Caddell, DO
• Tina M Cadden, PT
• April F Cady, M.S. ED.
• Belinda Caffrey, OT
• Lawrence Cafuir
• Mariefe Guanlao Cafuir, CCC-SLP
• Jade Nicole Caggiano

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.