Harmony Dialysis LLC

Primary specialty

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

License

550002809 Issued in CA

Legal business name

HARMONY DIALYSIS LLC

Doing business as

Fairfield Downtown Dialysis

Practice address

1800 N Texas Street
Fairfield, CA 94533-4441

Phone

(707) 399-9984

Fax

(707) 399-9925

NPI assigned

Dec 27, 2013

Last updated

Jul 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 733-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairfield Downtown Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Fairfield Downtown DialysisCCN 552763

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 15, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

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

CLIA laboratory certificates

Member of 1

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

• Total Renal Care Inc

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member

Locations

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.

• Rubit Quintero-Cobian, RDN

  • Registered Dietitian
  • Napa, CA
  • NPI 1952901373
  NPD (past)

Affiliated clinicians 3

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

• Steven Huy Ong, MD

  • Nephrology Physician
  • Fairfield, CA
  • NPI 1225006349

  Dialysis facility

  Care Compare affiliation Name & address match
• Oleg F Rubin, MD

  • Nephrology Physician
  • Fairfield, CA
  • NPI 1790762763

  Dialysis facility

  Care Compare affiliation Name & address match
• Steven R Tolkan, MD

  • Nephrology Physician
  • Fairfield, CA
  • NPI 1871554766

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1790106300",
    "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",
            "telephone_number": "615-341-6765",
            "fax_number": "833-782-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N TEXAS STREET",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334441",
            "telephone_number": "707-399-9984",
            "fax_number": "707-399-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "550002809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790106300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Downtown Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairfield Downtown Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaime Lee Hardcastle
• Christopher Davis Hardy
• Austin Harebottle
• Mikah Harley, AMFT
• Christina Harman
• Kylie Harms, FNP
• Sabrina Dorothy Harms, MD
• Jamie Harness
• Stephanie Marie Harper
• Ashley Nicole Harrinauth, M.A., M.B.A

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairfield, CA
• Providers in Fairfield, 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 Jul 22, 2019; 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.

Verify at the official NPI Registry.