Groten Dialysis, LLC

Primary specialty

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

Legal business name

GROTEN DIALYSIS, LLC

Doing business as

Yolo Dialysis

Practice address

1840 E Main St
Woodland, CA 95776-6228

Phone

(530) 662-1364

Fax

(530) 662-1357

NPI assigned

Dec 2, 2019

Last updated

Jul 23, 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 T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yolo Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Yolo DialysisCCN 752507

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Apr 3, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

21

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 Rose Point Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wasco, CA
  • NPI 1871007617

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Ganesh Kambhampati, M.D

  • Nephrology Physician
  • Woodland, CA
  • NPI 1649400839

  Dialysis facility

  Care Compare affiliation Name & address match
• Sheldon Leong

  • Nephrology Physician
  • Woodland, CA
  • NPI 1467764654

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1871130500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATTN: 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": "1840 E MAIN ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957766228",
            "telephone_number": "530-662-1364",
            "fax_number": "530-662-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROTEN DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "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": "1871130500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yolo Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yolo Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaime M Green, APRN/CNP
• Soroya Green
• Kimberly Ann Greene, PHARM.D.
• Karen Griner, SLP
• Susan V Gross, NP
• Ana Michelle Gudino, NP
• Gerardo Guerra Bonilla, MD
• Gugale & Azouz Dental Corp
• Carmen R. Guillermo, M.A. (MASTER OF ARTS
• Shirley Gunn

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Woodland, CA
• Providers in Woodland, 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 23, 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.