Usrc Chula Vista Broadway, LLC

Primary specialty

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

Legal business name

USRC CHULA VISTA BROADWAY, LLC

Doing business as

U.S. Renal Care Chula Vista Broadway Dialysis

Practice address

1181 Broadway Ste 5
Chula Vista, CA 91911-2749

Phone

(619) 585-0016

Fax

(619) 585-0410

NPI assigned

Aug 5, 2021

Last updated

Aug 5, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

President

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Chula Vista Broadway Dialysis Doing business as

Part of

US Renal Care Inc

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1750055489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 BROADWAY STE 5",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112749",
            "telephone_number": "619-585-0016",
            "fax_number": "619-585-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC CHULA VISTA BROADWAY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "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": "U.S. Renal Care Chula Vista Broadway Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Nieves Urrete
• Adriel Urueta
• US Navy
• USA Transport SD LLC
• Kimberly Uskokovic
• Manuel Esteban Utreras Sr., MA
• Jack Utz, MD
• Leticia Maritza Uwedjojevwe, MD
• Carmelita Luna Uy, M.D.
• Geno Cadamo Uy, CPT

• 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 Aug 5, 2021; 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.