Active NPI
Home Dialysis Therapies of San Diego
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- HOME DIALYSIS THERAPIES OF SAN DIEGO
- Practice address
- 1948 Via Ctr
Vista, CA 92081-6056 - Phone
- (858) 549-3400
- NPI assigned
- Feb 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise A Barnes
- Title
- Administrator
- Phone
- (858) 549-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1948 Via Ctr
Vista, CA 92081-6056
Mailing address
10672 Wexford St Ste 250
San Diego, CA 92131-3975
Phone (858) 549-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220609000528 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 7012983398 | Practice locations: Vista, CA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1457487738
7012983398
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chula Vista, CA
- NPI 1720114010
7012983398
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Home Dialysis Therapies of San Diego
- Overall star rating
- Ownership
- Profit
- Certified
- Jul 1, 2022
- Medicare certification status
- Active
- Dialysis stations
- 5
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Tax ID family
- Home Dialysis Therapies of San Diego
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1457487738
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chula Vista, CA
- NPI 1720114010
Locations
678 Third Ave
Ste 210
Chula Vista, CA 91910
Phone (619) 422-0003
10672 Wexford St
Ste 250
San Diego, CA 92131
Phone (858) 549-3400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- La Jolla, CA
- NPI 1487615886
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1730834367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10672 WEXFORD ST STE 250",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313975",
"telephone_number": "858-549-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 VIA CTR",
"city": "VISTA",
"state": "CA",
"postal_code": "920816056",
"telephone_number": "858-549-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME DIALYSIS THERAPIES OF SAN DIEGO",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "858-549-3400"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.