Total Renal Care Inc

Primary specialty

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

Legal business name

TOTAL RENAL CARE INC

Doing business as

Ferndale Dialysis

Practice address

1859 Main St Ste 103
Ferndale, WA 98248-9061

Phone

(615) 341-6282

Fax

(866) 540-6389

NPI assigned

Apr 10, 2023

Last updated

Mar 6, 2024By 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) 341-6691

Specialties & licenses 1

Addresses

Other names 1

• Ferndale Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Listed as

DaVita Ferndale DialysisCCN 502619

Overall star rating

2.0 of 5

Ownership

Profit

Certified

May 22, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

7

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

CLIA laboratory certificates

Tax ID family

Springdale Dialysis758 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

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

• Fayetteville Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tacoma, WA
  • NPI 1811315971
  NPD tax ID
• Siloam Springs

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tacoma, WA
  • NPI 1679991673
  NPD tax ID
• Springdale Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tacoma, WA
  • NPI 1740608744
  NPD tax ID
• Total Renal Care

  • Nutrition Education Nutritionist
  • Marysville, WA
  • NPI 1851780431
  NPD tax ID
• Total Renal Care Inc

  dba Tumwater Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tumwater, WA
  • NPI 1700265006
  NPD tax ID
• Total Renal Care Inc

  dba Lake Tapps Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sumner, WA
  • NPI 1720690506
  NPD tax ID
• Total Renal Care Inc

  dba Graham Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Graham, WA
  • NPI 1780836759
  NPD tax ID
• Total Renal Care Inc

  dba Kennewick Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kennewick, WA
  • NPI 1790068542
  NPD tax ID
• Total Renal Care Inc

  dba Mill Creek Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bothell, WA
  • NPI 1790928802
  NPD tax ID
• Total Renal Care Inc

  dba Parkland Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Parkland, WA
  • NPI 1881987485
  NPD tax ID
• Total Renal Care Inc

  dba Puyallup Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Puyallup, WA
  • NPI 1922062066
  NPD tax ID
• Total Renal Care Inc

  dba Cascade Dialysis

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mauricio A Pedroza, MD

  • Student in an Organized Health Care Education/Training Program
  • Philadelphia, PA
  • NPI 1265744692
  NPD (past)

Affiliated clinicians 4

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

• Mary E Lotfi, M.D.

  • Specialist
  • Bellingham, WA
  • NPI 1184682460

  Dialysis facility

  Care Compare affiliation Name & address match
• Ankur Mogla, MD

  • Nephrology Physician
  • Bellingham, WA
  • NPI 1023502325

  Dialysis facility

  Care Compare affiliation Name & address match
• Robert Stanislaw Niznik, MD

  • Nephrology Physician
  • Bellingham, WA
  • NPI 1922447069

  Dialysis facility

  Care Compare affiliation Name & address match
• Sebastian Varas Garcia, MD

  • Nephrology Physician
  • Bellingham, WA
  • NPI 1366757692

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1952096562",
    "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",
            "telephone_number": "615-341-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 MAIN ST STE 103",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489061",
            "telephone_number": "615-341-6282",
            "fax_number": "866-540-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "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": "615-341-6691"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ferndale Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ferndale Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Elizabeth Stratford, OTR/L
• Karri J Street, LMP
• Take Aim Independent Living Solutions, LLC
• Norman Tang
• Sarah K Tevelde
• Jessica T Tragesser, ARNP
• Tam Thanh Tran, PHARMD
• VI-Tai Tran, RPH
• True North Therapy Group PLLC
• Khon Truong

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ferndale, WA
• Providers in Ferndale, WA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.