Active NPI
Ubonsie Dialysis, LLC
Doing business as Vacavalley Home Training
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- UBONSIE DIALYSIS, LLC
- Doing business as
- Vacavalley Home Training
- Practice address
- 785 Orange Dr
Vacaville, CA 95687-3133 - Phone
- (707) 359-1960
- Fax
- (707) 359-1986
- NPI assigned
- Dec 9, 2020
- Last updated
- May 27, 2026
- 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
- Samuel T Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
785 Orange Dr
Vacaville, CA 95687-3133
Mailing address
5200 Virginia Way
Att: L&C Dept
Brentwood, TN 37027-7569
Other names 1
- Vacavalley Home Training
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210305000511 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 7012323694 | Practice locations: Vacaville, CA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Vaca Valley Home Training
- Ownership
- Profit
- Certified
- Apr 13, 2021
- Medicare certification status
- Active
- Chain
- DaVita
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2214602 | Vacavalley Home Training | Certificate of waiver | Feb 22, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Bountiful Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bountiful, UT
- NPI 1184387516
Member Of
Locations
785 Orange Dr
Vacaville, CA 95687
Phone (707) 359-1960
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Fairfield, CA
- NPI 1790762763
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Vacaville, CA
- NPI 1144540931
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779840000000",
"number": "1740886274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "ATT: 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": "785 ORANGE DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873133",
"telephone_number": "707-359-1960",
"fax_number": "707-359-1986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UBONSIE DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-09",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vacavalley Home Training",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vacavalley Home Training",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.