Active NPI
Dialysis Access Center a Medical Corporation
- Ambulatory Surgical Clinic/Center
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- DIALYSIS ACCESS CENTER A MEDICAL CORPORATION
- Practice address
- 3012 Summit St
D Wing
Oakland, CA 94609-3480 - Phone
- (510) 251-1002
- NPI assigned
- Mar 15, 2017
- Last updated
- Sep 29, 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
- Brett Wiley
- Title
- Authorized Official
- Phone
- (510) 251-1002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
3012 Summit St
D Wing
Oakland, CA 94609-3480
Mailing address
PO Box 883528
Los Angeles, CA 90088-3528
Phone (510) 251-1002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170607001272 | CA | Part B Supplier - Ambulatory Surgical Center | 2062400443 | Practice locations: Oakland, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Nephrology Physician
- Oakland, CA
- NPI 1699852327
2062400443
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Dialysis Access Center a Medical Corporation
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3012 Summit St
#D
Oakland, CA 94609
Phone (510) 251-1002
3012 Summit St
Ste D
Oakland, CA 94609
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Vascular Surgery Physician
- Palo Alto, CA
- NPI 1528018777
-
- Nephrology Physician
- Berkeley, CA
- NPI 1699094292
-
- Nephrology Physician
- Oakland, CA
- NPI 1306959135
-
- Internal Medicine Physician
- West Sacramento, CA
- NPI 1558468207
-
- Nephrology Physician
- Pleasanton, CA
- NPI 1427096452
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164470696
-
- Specialist
- Moraga, CA
- NPI 1548473069
-
- Nephrology Physician
- Hayward, CA
- NPI 1780621706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1760923445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 883528",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900883528",
"telephone_number": "510-251-1002",
"fax_number": "510-251-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 SUMMIT ST",
"address_2": "D WING",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093480",
"telephone_number": "510-251-1002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYSIS ACCESS CENTER A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-15",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "WILEY",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "510-251-1002"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.