ALAMEDA COUNTY DIALYSIS - NPI 1104053412 - Clinic/Center in Oakland, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

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About Alameda County Dialysis NPPES

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

ALAMEDA COUNTY DIALYSIS (NPI 1104053412) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Oakland, California and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists James K Hilger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1104053412

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameLLANO DIALYSIS LLC

Location Address10700 MACARTHUR BLVD STE 14Oakland, CA 94605-5260

Mailing Address5200 Virginia Way, Ste 400 L&c DeptBrentwood, TN 37027-7569 · (615) 320-4521

Phone(510) 633-9844

Fax(510) 633-9924

Organization SubpartNo

Authorized OfficialJames K HilgerVice President · (253) 382-1919

Enumeration DateJune 12, 2009

✔ NPI 1104053412 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

10700 MACARTHUR BLVD STE 14, Oakland, CA 94605

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Other Names 1

Doing Business AsAlameda County Dialysis

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 05D0917089

Alameda County Dialysis · Oakland, CA

Active · expires Jul 8, 2028

CLIA Number05D0917089

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJuly 9, 2026

Certificate Expiration DateJuly 8, 2028

Laboratory DirectorSamuel J. Wong

Laboratory Phone(510) 568-5849

Laboratory LocationAlameda County Dialysis10700 Macarthur Blvd, Bldg 7, Oakland, CA 94605

CLIA data matches this NPI record on: Name

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 Alameda County Dialysis (CMS certification number 052787), from CMS Care Compare.

DaVita Alameda County Dialysis

Dialysis facility · Oakland, CA

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number052787

ESRD NetworkNetwork 17

Hemodialysis Stations24

Medicare-Certified SinceApril 24, 1996

Location10700 MacArthur Blvd. Building 7Oakland, CA 94605 · Alameda County

Phone(510) 568-5849

Services Offered

In-center hemodialysis Evening shifts (after 5 PM)

Other Providers at the Same Location NPPES 5

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

SANDY ANGELA LI PHARMD

Pharmacist (Ambulatory Care)