Davita El Paso East LP

Primary specialty

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

License

008408 Issued in TX

Legal business name

DAVITA EL PASO EAST LP

Doing business as

DaVita East Dialysis

Practice address

11989 Pellicano Dr
El Paso, TX 79936-6287

Phone

(915) 856-6363

Fax

(915) 856-9777

NPI assigned

Sep 29, 2006

Last updated

Jun 17, 2025By 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

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DaVita East Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

DaVita East Dialysis ClinicCCN 672558

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jan 29, 2007

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 2

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

• El Paso Kidney Specialists PA

  • Nephrology Physician
  • El Paso, TX
  • NPI 1881680155

  Member Of

  NPD member
• Total Renal Care Inc

  dba Cerritos Dialysis

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

  Member Of

  NPD member

Affiliated clinicians 5

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

• Jaime Gonzalez, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1477848695

  Dialysis facility

  Care Compare affiliation Name & address match
• German T. Hernandez, M.D.

  • Nephrology Physician
  • El Paso, TX
  • NPI 1154367704

  Dialysis facility

  Care Compare affiliation Name & address match
• Ileana Martinez, M.D.

  • Nephrology Physician
  • El Paso, TX
  • NPI 1326032913

  Dialysis facility

  Care Compare affiliation Name & address match
• Simon Sergio Rodriguez, M.D.

  • Nephrology Physician
  • El Paso, TX
  • NPI 1952512246

  Dialysis facility

  Care Compare affiliation Name & address match
• Jorge Humberto Serna, M.D.

  • Nephrology Physician
  • El Paso, TX
  • NPI 1861486532

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1841382280",
    "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": "11989 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366287",
            "telephone_number": "915-856-6363",
            "fax_number": "915-856-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVITA EL PASO EAST LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": "TX",
            "license": "008408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184149602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DaVita East Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DaVita East Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Marie Davis, M.D.
• Samantha Francis Davis, RN
• Stephen Keith Davis, PA
• Veronika Gevandovna Davis, CRNA
• Yvette Alvarez Davis, D.D.S.
• William Francis Davitt III, M.D.
• Parese Klesha Dawson
• Constance June Day, NURSE PRACTITIONER
• Daybyday247 LLC
• Daylight Adult Foster Home Care

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.