NPIMap

Organization Active NPI

Wyatt Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Napa, CA
National Provider Identifier
1972252187
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
WYATT DIALYSIS LLC
Practice address
3350 California Blvd Ste a
Napa, CA 94558-3312
Phone
(615) 341-6282
Fax
(866) 510-6389
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
John Winstel
Title
Chief Accounting Officer
Phone
(253) 733-4500

Specialties & licenses 1

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

Addresses

Primary practice location

3350 California Blvd Ste a
Napa, CA 94558-3312

Mailing address

5200 Virginia Way
Brentwood, TN 37027-7569
Phone (615) 341-6282

Other names 1

  • Napa 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
O20230403000925 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 9335514421 Practice locations: Napa, CA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Napa Home TrainingCCN 752590
Overall star rating
4.0 of 5
Ownership
Profit
Certified
May 31, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita

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
05D2275261Wyatt Dialysis LLC Dba Napa Home Training3350 California Blvd, Suite a, Napa, CA 94558Certificate of waiverJan 17, 2027

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 17

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

View all 17

Member of 1

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

Locations

3350 California Blvd
#A
Napa, CA 94558
Phone (707) 562-4446

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1972252187",
    "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",
            "fax_number": "866-510-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 CALIFORNIA BLVD STE A",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583312",
            "telephone_number": "615-341-6282",
            "fax_number": "866-510-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "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": "Napa Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Napa Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.