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SAN RAFAEL DIALYSIS
NPI 1023499605
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Rafael, CA

Active since June 09, 2015CLIA 05D2105807 · Waiver
4/5
Overall Rating
1415 3RD ST, SAN RAFAEL, CA 94901(415) 453-4437(415) 453-4616 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Feb 7, 2022, Sep 3, 2020 and 3 more (6 updates tracked since 2017).

About San Rafael Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN RAFAEL DIALYSIS (NPI 1023499605) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Rafael, California and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1023499605
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address1415 3RD STSan Rafael, CA 94901-2826
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(415) 453-4437
Fax(415) 453-4616
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateJune 9, 2015
Last NPPES UpdateOctober 7, 20246 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1023499605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in CA · 550003375
1415 3RD ST, San Rafael, CA 94901
Open in Google Maps ↗

Other Names 1

Doing Business AsSan Rafael Dialysis

Other Identifiers 1

Medicaid1023499605CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2105807

San Rafael Dialysis · San Rafael, CA
Active · expires Dec 2, 2027
CLIA Number05D2105807
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorSarah Woon
Laboratory Phone(415) 453-4437
Laboratory LocationSan Rafael Dialysis1415 3rd St, San Rafael, CA 94901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita San Rafael Dialysis (CMS certification number 552794), from CMS Care Compare.

DaVita San Rafael Dialysis

Dialysis facility · San Rafael, CA
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552794
ESRD NetworkNetwork 17
Hemodialysis Stations24
Medicare-Certified SinceDecember 6, 2016
Location1415 3RD STREETSan Rafael, CA 94901 · Marin County
Phone(415) 453-4437
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1023499605. It was assigned to this organization in the NPPES registry on June 9, 2015. The provider is doing business as San Rafael Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 1415 3rd St, San Rafael, CA 94901. The listed phone number is (415) 453-4437.

What is Total Renal Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2105807) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita San Rafael Dialysis is a Medicare-certified dialysis facility, certified since December 6, 2016.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita San Rafael Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Total Renal Care Inc accept?

Health plans from UnitedHealthcare list Total Renal Care Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Total Renal Care Inc was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.