NPIMap

Organization Active NPI

Total Renal Care Inc

Doing business as CSATF 19 Prison Dialysis Program

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Selma, CA
National Provider Identifier
1942528203
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
TOTAL RENAL CARE INC
Doing business as
CSATF 19 Prison Dialysis Program
Practice address
2001 High St
Selma, CA 93662-3512
Phone
(559) 992-7100
Fax
(559) 992-7299
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicole Clarke
Title
Arrm
Phone
(949) 930-6874

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2001 High St
Selma, CA 93662-3512

Mailing address

15253 Bake Parkway
Irvine, CA 92618
Phone (949) 930-6874

Other names 1

  • CSATF 19 Prison Dialysis Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davita Upstate Dialysis758 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

2001 High St
Selma, CA 93662
Phone (559) 753-0085

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1942528203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15253 BAKE PARKWAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-930-6874",
            "fax_number": "866-639-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HIGH ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623512",
            "telephone_number": "559-992-7100",
            "fax_number": "559-992-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ARRM",
        "authorized_official_telephone_number": "949-930-6874"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "CSATF 19 Prison Dialysis Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.