Home Dialysis Therapies of San Diego

Primary specialty

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

Legal business name

HOME DIALYSIS THERAPIES OF SAN DIEGO

Practice address

2060 Otay Lakes Rd
Suite 120
Chula Vista, CA 91915-1364

Phone

(619) 422-0003

Fax

(619) 422-0004

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Barnes, RN

Title

Ceo

Phone

(858) 549-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Home Dialysis Therapies of San Diego

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1457487738

  7012983398

  Same PAC ID
• Home Dialysis Therapies of San Diego

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vista, CA
  • NPI 1730834367

  7012983398

  Same PAC ID

Listed as

Home Dialysis Therapies of San Diego-SouthCCN 552546

Ownership

Profit

Certified

Jul 13, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

4

Tax ID family

Home Dialysis Therapies of San Diego3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Home Dialysis Therapies of San Diego

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1457487738
  NPD tax ID
• Home Dialysis Therapies of San Diego

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vista, CA
  • NPI 1730834367
  NPD tax ID

Affiliated clinicians 2

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

• Bethany Elizabeth Karl, D.O.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1790980472

  Dialysis facility

  Care Compare affiliation Name & address match
• Rakesh Malhotra, M.D., M.P.H.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1326346818

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1720114010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 OTAY LAKES RD",
            "address_2": "SUITE 120",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151364",
            "telephone_number": "619-422-0003",
            "fax_number": "619-422-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 OTAY LAKES RD",
            "address_2": "SUITE 120",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151364",
            "telephone_number": "619-422-0003",
            "fax_number": "619-422-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DIALYSIS THERAPIES OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-549-3400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "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": "CDC552546F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Hollick, D.O.
• Mary Grace Velasco Holliday, LVN
• Sandee Marie Holliday
• Colleen Holt
• Natasha Lao Hom, PT
• Homecare Solution of San Diego, LLC
• Homepath Living LLC
• Akilesh Honasoge, M.D.
• Brian Honeycutt
• Carmel Honeycutt

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chula Vista, CA
• Providers in Chula Vista, 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, 2013; 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.