Noster Dialysis LLC

Primary specialty

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

Legal business name

NOSTER DIALYSIS LLC

Doing business as

Jurupa Valley Dialysis

Practice address

8080 Limonite Ave
Jurupa Valley, CA 92509-6107

Phone

(951) 361-9405

Fax

(951) 727-0027

NPI assigned

Feb 11, 2015

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

• Jurupa Valley Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Jurupa Valley DialysisCCN 552817

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Oct 16, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

25

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.

• Total Renal Care Inc

  dba Red Hawk Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Castle Rock, CO
  • NPI 1386928430

  Member Of

  NPD member
• Total Renal Care Inc

  dba Cascade Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  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.

• John Andrew Robertson, M.D.

  • Nephrology Physician
  • Riverside, CA
  • NPI 1528019536
  NPD (past)

Affiliated clinicians 4

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

• Krishi Chanduri, M.D.

  • Nephrology Physician
  • Corona, CA
  • NPI 1598957540

  Dialysis facility

  Care Compare affiliation Name & address match
• Arthur Galoustian, MD

  • Nephrology Physician
  • Riverside, CA
  • NPI 1487685426

  Dialysis facility

  Care Compare affiliation Name & address match
• Vince Hyun Ha, MD

  • Nephrology Physician
  • Corona, CA
  • NPI 1568587061

  Dialysis facility

  Care Compare affiliation Name & address match
• Kirollos Zaki, D.O

  • Nephrology Physician
  • Riverside, CA
  • NPI 1104270305

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1881085900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 LIMONITE AVE",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925096107",
            "telephone_number": "951-361-9405",
            "fax_number": "951-727-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTER DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "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": "1881085900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jurupa Valley Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jurupa Valley Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mountain Shadows Support Group
• Mountain Shadows Support Group (Mountain Shadows Special Kids Homes-Joshua)
• Margaret Ndiru Mungai
• James M Mwaura, RN
• Hyun Wook Nam, D.M.D.
• Oc Geropsychiatric Medical Group
• Victor Bwoma Ogega
• Alondra Rios Olivas
• Leland Oliver
• Gilbert Ombachi, LVN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jurupa Valley, CA
• Providers in Jurupa Valley, 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 Apr 6, 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.

Verify at the official NPI Registry.