Organization Active NPI

Pinon Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rialto, CA
National Provider Identifier
1902587769
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
PINON DIALYSIS LLC
Practice address
1275 W Foothill Blvd Ste 1
Rialto, CA 92376-4748
Phone
(909) 961-1130
Fax
(909) 707-1650
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1275 W Foothill Blvd Ste 1
Rialto, CA 92376-4748

Mailing address

5200 Virginia Way
Attn: L&C Dept
Brentwood, TN 37027-7569

Other names 1

  • Rialto Home Training Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241218000734 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 1052848868 Practice locations: Rialto, CA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Rialto Home TrainingCCN 752618
Ownership
Profit
Certified
May 5, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita
Dialysis stations
1

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2297975Rialto Home Training1275 Foothill Blvd Ste 1, Rialto, CA 92376Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1275 W Foothill Blvd
Ste 1
Rialto, CA 92376
Phone (909) 961-1130

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1902587769",
    "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": "1275 W FOOTHILL BLVD STE 1",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764748",
            "telephone_number": "909-961-1130",
            "fax_number": "909-707-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINON DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rialto Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rialto Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.