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SAN DIEGO SOUTH DIALYSIS
NPI 1093780017
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Diego, CA

Active since February 22, 2006CLIA 05D0926515 · Waiver
3/5
Overall Rating
995 GATEWAY CENTER WAY, STE 101, SAN DIEGO, CA 92102(619) 262-1960(619) 262-2420 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2023, May 13, 2020, Apr 25, 2019 (3 updates tracked since 2019).

About San Diego South Dialysis NPPES

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

SAN DIEGO SOUTH DIALYSIS (NPI 1093780017) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Diego, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1093780017
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address995 GATEWAY CENTER WAY, STE 101San Diego, CA 92102-4550
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 238-3085 · Fax (800) 268-9682
Phone(619) 262-1960
Fax(619) 262-2420
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJanuary 16, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1093780017 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 · 080000705
995 GATEWAY CENTER WAY, San Diego, CA 92102
Open in Google Maps ↗

Other Names 1

Doing Business AsSan Diego South Dialysis

Other Identifiers 2

Medicaid1791954LA
Medicaid1093780017CA

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 05D0926515

San Diego South Dialysis · National City, CA
Active · expires Mar 24, 2027
CLIA Number05D0926515
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorScott Mullaney MD
Laboratory Phone(619) 262-1960
Laboratory LocationSan Diego South Dialysis120 E Plaza Blvd Ste 502, National City, CA 91950
CLIA data matches this NPI record on: 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 Diego South Dialysis (CMS certification number 052799), from CMS Care Compare.

DaVita San Diego South Dialysis

Dialysis facility · National City, CA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number052799
ESRD NetworkNetwork 18
Hemodialysis Stations17
Medicare-Certified SinceFebruary 28, 1997
Location1220 E. Plaza BlvdNational City, CA 91950 · San Diego County
Phone(858) 786-1448
Services Offered
In-center hemodialysis Evening shifts (after 5 PM)

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
68% 3/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
71% 4/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
81% 3/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
58% 3/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
76% 5/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
80% 5/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Other Providers at the Same Location NPPES 20

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

CORRINE THANH NGOC PHAN LCSW
Social Worker
995 GATEWAY CENTER WAY, SUITE 300
SAN DIEGO, CA 92102
San Diego County (619) 398-2156
MRS. IRENE ANDREA SMITH MSN, RN
Student in an Organized Health Care Education/Training Program
995 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 232-6454
DR. ZACHARY G. RATTNER M.D.
Radiology (Vascular & Interventional Radiology)
995 GATEWAY CENTER WAY, SUITE 207
SAN DIEGO, CA 92102
San Diego County (619) 263-9729
MR. MATTHEW DAVID STEPHENS ASW #59688
Counselor (Mental Health)
995 GATEWAY CENTER WAY, SUITE 300
SAN DIEGO, CA 92102
San Diego County (619) 398-2156
KEITH TAGLORIN
Counselor (Mental Health)
995 GATEWAY CENTER WAY, SUITE 300
SAN DIEGO, CA 92102
San Diego County (619) 398-2156
MS. SHABONA SAID SAKANDAR
Day Training/Habilitation Specialist
995 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (800) 249-1266
IVAN ADALBERTO FELIX
Adult Companion
995 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 772-2579
KATHLYN LEE MANKAU
Counselor (Professional)
995 GATEWAY CENTER WAY
SAN DIEGO, CA 92102
San Diego County (619) 275-0822

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 Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1093780017. It was assigned to this organization in the NPPES registry on February 22, 2006. The provider is doing business as San Diego South Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 995 Gateway Center Way Ste 101, San Diego, CA 92102. The listed phone number is (619) 262-1960.

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

Yes. A Certificate of Waiver (number 05D0926515) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Renal Healthcare Inc a Medicare-certified dialysis facility?

Yes. DaVita San Diego South Dialysis is a Medicare-certified dialysis facility, certified since February 28, 1997.

What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita San Diego South Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Renal Healthcare Inc accept?

Health plans from UnitedHealthcare list DVA Renal Healthcare 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 DVA Renal Healthcare Inc was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.