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VALLEJO DIALYSIS
NPI 1053386912
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Vallejo, CA

Active since February 22, 2006CLIA 05D0873509 · Waiver
121 HOSPITAL DR, VALLEJO, CA 94589(707) 553-9174(707) 553-9678 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Vallejo Dialysis NPPES

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

VALLEJO DIALYSIS (NPI 1053386912) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Vallejo, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Thomas O Usilton, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1053386912
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE INC
Location Address121 HOSPITAL DRVallejo, CA 94589-2562
Mailing Address5200 Virginia Way, Ste 400Brentwood, TN 37027-7569 · (615) 320-4435 · Fax (303) 209-7821
Phone(707) 553-9174
Fax(707) 553-9678
Organization SubpartNo
Authorized OfficialThomas O UsiltonGroup Vice President · (770) 541-7922
Enumeration DateFebruary 22, 2006
Last NPPES UpdateAugust 14, 2007
✔ NPI 1053386912 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
121 HOSPITAL DR, Vallejo, CA 94589
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Other Names 1

Doing Business AsVallejo Dialysis

Other Identifiers 2

Medicare OSCAR/certification052567
MedicaidCDC70011FCA

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 05D0873509

Vallejo Dialysis · Vallejo, CA
Active · expires Jul 22, 2027
CLIA Number05D0873509
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorClaudia Iota-Herbei
Laboratory Phone(707) 642-2016
Laboratory LocationVallejo Dialysis830 Redwood St, Vallejo, CA 94590
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1053386912. It was assigned to this organization in the NPPES registry on February 22, 2006. The provider is doing business as Vallejo Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 121 Hospital Dr, Vallejo, CA 94589. The listed phone number is (707) 553-9174.

What is DVA Healthcare 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 DVA Healthcare Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0873509) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for DVA Healthcare Renal Care Inc was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.