KIDNEY DIALYSIS CENTER OF SAN LUIS OBISPO,LLC
NPI 1033151816
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Luis Obispo, CA

Q: What is Kidney Dialysis Center Of San Luis Obispo,llc's specialty?

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

Active since June 13, 2006

1043 MARSH ST, SAN LUIS OBISPO, CA 93401(805) 543-1013(805) 543-5654 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Kidney Dialysis Center Of San Luis Obispo,llc NPPES

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

KIDNEY DIALYSIS CENTER OF SAN LUIS OBISPO,LLC (NPI 1033151816) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Luis Obispo, California and active in the NPI registry since June 2006. The organization lists Lisa Viral Upponi, Director Of Accounts Receivable, as its authorized official.

NPPES Registry Identity

NPI1033151816

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameKIDNEY DIALYSIS CENTER OF SAN LUIS OBISPO,LLC

Location Address1043 MARSH STSan Luis Obispo, CA 93401-3629

Mailing AddressPo Box 940838Simi Valley, CA 93094-0838 · (805) 443-7777 · Fax (805) 433-7655

Phone(805) 543-1013

Fax(805) 543-5654

Organization SubpartNo

Authorized OfficialLisa Viral UpponiDirector Of Accounts Receivable · (805) 433-7506

Enumeration DateJune 13, 2006

Last NPPES UpdateJanuary 7, 2008

✔ NPI 1033151816 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

1043 MARSH ST, San Luis Obispo, CA 93401

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Other Identifiers 3

OtherZZZ02842ZCA · Blue Shield

MedicaidCDC02811GCA

Medicare ID-Type Unspecified052811CA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL RENAL CARE INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1043 MARSH ST
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 543-1013

SAMANTHA COSTON RN

Registered Nurse

1043 MARSH ST
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 785-0321

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 Kidney Dialysis Center Of San Luis Obispo,llc's NPI number?

The NPI number for Kidney Dialysis Center Of San Luis Obispo,llc is 1033151816. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Kidney Dialysis Center Of San Luis Obispo,llc located?

Kidney Dialysis Center Of San Luis Obispo,llc is located at 1043 Marsh St, San Luis Obispo, CA 93401. The listed phone number is (805) 543-1013.

What is Kidney Dialysis Center Of San Luis Obispo,llc's specialty?

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

When was this NPI record last updated?

The NPPES record for Kidney Dialysis Center Of San Luis Obispo,llc was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.