Marseille Dialysis, LLC

Primary specialty

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

Legal business name

MARSEILLE DIALYSIS, LLC

Practice address

930 2ND Ave
Marina, CA 93933-6009

Phone

(831) 384-7831

Fax

(831) 384-7786

NPI assigned

Apr 20, 2016

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 names 1

• Marina Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

DaVita Marina DialysisCCN 552828

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Apr 11, 2018

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 1

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

• Total Renal Care Inc

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

  Member Of

  NPD member

Affiliated clinicians 3

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

• Jeffrey Che-Cheng Chen, M.D.

  • Nephrology Physician
  • Monterey, CA
  • NPI 1346395704

  Dialysis facility

  Care Compare affiliation Name & address match
• Barbara Lois Rever, MD

  • Nephrology Physician
  • Salinas, CA
  • NPI 1255410262

  Dialysis facility

  Care Compare affiliation Name & address match
• Roshini Yapa

  • Nephrology Physician
  • Monterey, CA
  • NPI 1205254695

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1942654595",
    "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": "930 2ND AVE",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939336009",
            "telephone_number": "831-384-7831",
            "fax_number": "831-384-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSEILLE DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "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": "Marina Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marina Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Frederick Manchester, DPT
• Dezirae Marie Manriquez
• Marina Doctors on Duty
• Marina Optometric Center Inc
• Marina Physical Therapy, Inc
• Holly Martin
• Maria Martinez-Navarro
• Alet Martinez
• Emely Annett Martinez, BCBA
• Guadalupe Martinez

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Marina, CA
• Providers in Marina, 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 Feb 18, 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.