Total Renal Care Inc

Primary specialty

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

License

550001608 Issued in CA

Legal business name

TOTAL RENAL CARE INC

Practice address

1720 El Camino Real Ste 12
Burlingame, CA 94010-3225

Phone

(650) 697-7601

Fax

(650) 697-7926

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

John D. Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Burlingame Dialysis Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

End-stage renal disease facility certification: CCN 552681

Legal name

BURLINGAME DIALYSIS

Certification status

Active

Provider type (POS)

End-stage renal disease facility

Participating since

Jul 1, 2011

Last certification

Jan 28, 2020

Ownership / control type

For Profit

Multi-facility organization

DAVITA, INC

Facility address

1720 El Camino Real, Suite 12
Burlingame, CA 94010

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1992095343",
    "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",
            "telephone_number": "615-341-6793",
            "fax_number": "877-790-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL STE 12",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103225",
            "telephone_number": "650-697-7601",
            "fax_number": "650-697-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "550001608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992095343",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlingame Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burlingame Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Topper, PHD, FACMG
• Vincent William Tornabene, M.D.
• Cheyenne Graciela Torres Hernandez
• Mirna Torres
• Total Joint Cin of Northern California
• Wendy Michelle Towle, LMFT
• Tiffany Townsend, M.D.
• Lily Wong Toy, MSC, MS,GNP-BC, CWON
• Christopher John Trailer Jr., LMFT
• Khoi Tran

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Burlingame, CA
• Providers in Burlingame, 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 Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.