Active NPI
Dva Healthcare Renal Care Inc
Doing business as Yuma Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Yuma, AZ
National Provider Identifier
1821061649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- OTC3619
- Legal business name
- DVA HEALTHCARE RENAL CARE INC
- Doing business as
- Yuma Dialysis
- Practice address
- 2130 W 24TH St
Yuma, AZ 85364-6122 - Phone
- (928) 783-2365
- Fax
- (928) 783-6870
- NPI assigned
- Feb 10, 2006
- Last updated
- Aug 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 | OTC3619 | AZ | Primary |
Addresses
Primary practice location
2130 W 24TH St
Yuma, AZ 85364-6122
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061218 | Medicaid | AZ | |
| 032502 | Other | AZ | MEDICARE |
Other names 1
- Yuma Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030418000007 | AZ | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 7517875545 | Practice locations: Yuma, AZ |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Yuma Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Jun 28, 1978
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 30
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Tax ID family
- Community Dialysis Services
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba South Yuma Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Yuma, AZ
- NPI 1447223318
-
- Chronic Disease Hospital
- Yuma, AZ
- NPI 1164785747
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Durham West Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Durham, NC
- NPI 1275592602
Member Of
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1821061649",
"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": "2130 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646122",
"telephone_number": "928-783-2365",
"fax_number": "928-783-6870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DVA HEALTHCARE RENAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"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": "AZ",
"license": "OTC3619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061218",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "032502",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Yuma Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Yuma Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yuma, AZ
- Harsh Vardhan Duphare
- Wilbur Don Bayuga Duque, MD
- Timothy Ryan Valois Duran, PA-C
- Matthew Christopher Durdovic, MA, LCSW
- Dva Healthcare Renal Care Inc (South Yuma Dialysis)
- Dva Healthcare Renal Care, Inc.
- Nadia Estrella Dyakiv, PT
- Ear Nose and Throat of Yuma PLLC
- Easter Seals Blake Foundation
- Anna Michelle Ebey, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.