NPIMap

Southwest Kidney Davita Dialysis Partners LLC

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Chandler, AZ

NPI 1770714701 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1770714701
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
Practice address
975 W Chandler Heights Rd
Unit 101
Chandler, AZ 85248-5724
Phone
(480) 802-4405
Fax
(480) 802-5390
NPI assigned
Aug 8, 2009
Organization subpart
No

Authorized official

Name
Samuel T Wey
Title
VP, Licensure & Certification
Phone
(615) 341-6641

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Dialysis facility

Listed as
DaVita Ocotillo Dialysis CCN 032631
Overall star rating
★★☆☆☆ 2.0 of 5
Ownership
Profit
Certified
Feb 8, 2010
Medicare certification status
Active (Provider of Services file)
Chain
DaVita
Dialysis stations
12

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1104720Ocotillo Dialysis
975 W Chandler Heights Rd Unit 101, Chandler, AZ 85248		Certificate of waiverSep 8, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091008000062 AZ Part a Provider - End-Stage Renal Disease Facility (ESRD) 1456438423 Practice locations: Chandler, AZ

National Provider Directory

Tax ID family
Southwest Kidney Davita Dialysis Partners LLC (22 organizations share this tax ID)

Locations

975 W Chandler Heights Rd
Bldg A
Chandler, AZ 85248

975 W Chandler Heights Rd
Chandler, AZ 85248

Specialties & licenses

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

Addresses

Primary practice location

975 W Chandler Heights Rd
Unit 101
Chandler, AZ 85248-5724

Mailing address

5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569

Other identifiers

IdentifierTypeStateIssuer
506619MedicaidAZ
OTC4749OtherAZSTATE LICENSE

Other names

  • Ocotillo Dialysis Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 19, 2026.

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1770714701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "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": "975 W CHANDLER HEIGHTS RD",
            "address_2": "UNIT 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485724",
            "telephone_number": "480-802-4405",
            "fax_number": "480-802-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-08",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506619",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OTC4749",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocotillo Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ocotillo Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

All providers in Chandler, AZ · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.