Organization Active NPI

Rai Care Centers of Northern California II, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Francisco, CA
National Provider Identifier
1720152994
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC
Practice address
1750 Cesar Chavez
Suite a
San Francisco, CA 94124-1138
Phone
(415) 206-9775
Fax
(415) 206-9640
NPI assigned
Nov 20, 2006
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Mr. Mark R Fawcett
Title
Regulatory Affairs Manager
Phone
(781) 699-9000

Specialties & licenses 1

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

Addresses

Primary practice location

1750 Cesar Chavez
Suite a
San Francisco, CA 94124-1138

Mailing address

1750 Cesar Chavez
Suite a
San Francisco, CA 94124-1138
Phone (415) 206-9775

Other identifiers 4

IdentifierTypeStateIssuer
052775OtherCABLUE CROSS OF CALIFORNIA
CDC02775GMedicaidCA
05OtherCAKAISER
ZZZR0203ZOtherCABLUE SHIELD OF CALIFORNIA

Other names 1

  • RAI-Cesar Chavez-San Francisco Other name

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1720152994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 CESAR CHAVEZ",
            "address_2": "SUITE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241138",
            "telephone_number": "415-206-9775",
            "fax_number": "415-206-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 CESAR CHAVEZ",
            "address_2": "SUITE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241138",
            "telephone_number": "415-206-9775",
            "fax_number": "415-206-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAI CARE CENTERS OF NORTHERN CALIFORNIA II, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "REGULATORY AFFAIRS MANAGER",
        "authorized_official_telephone_number": "781-699-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CALIFORNIA",
            "identifier": "052775",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02775G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "05",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZR0203Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAI-Cesar Chavez-San Francisco",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.