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UNIVERSITY DIALYSIS CENTER
NPI 1124081195
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Sacramento, CA

Active since April 10, 2006CLIA 05D0930579 · Waiver
300 UNIVERSITY AVE, STE #103, SACRAMENTO, CA 95825(916) 920-0877(916) 920-1931 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Dialysis Center NPPES

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

UNIVERSITY DIALYSIS CENTER (NPI 1124081195) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Sacramento, California and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Thomas O Usilton, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1124081195
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameUNIVERSITY DIALYSIS CENTER, LLC
Location Address300 UNIVERSITY AVE, STE #103Sacramento, CA 95825-6518
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4435 · Fax (303) 209-7821
Phone(916) 920-0877
Fax(916) 920-1931
Organization SubpartNo
Authorized OfficialThomas O UsiltonGroup Vice President · (770) 541-7922
Enumeration DateApril 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124081195 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
300 UNIVERSITY AVE, Sacramento, CA 95825
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Other Names 1

Doing Business AsUniversity Dialysis Center

Other Identifiers 1

MedicaidZZR02530GCA

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 05D0930579

University Dialysis Center · Sacramento, CA
Active · expires Jul 14, 2027
CLIA Number05D0930579
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorRatnaji Nallamothu, MD
Laboratory Phone(916) 920-0877
Laboratory LocationUniversity Dialysis Center333 University Ave Ste 100, Sacramento, CA 95825
CLIA data matches this NPI record on: Name Phone
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 University Dialysis Center, LLC's NPI number?

The NPI number for University Dialysis Center, LLC is 1124081195. It was assigned to this organization in the NPPES registry on April 10, 2006. The provider is doing business as University Dialysis Center.

Where is University Dialysis Center, LLC located?

University Dialysis Center, LLC is located at 300 University Ave Ste #103, Sacramento, CA 95825. The listed phone number is (916) 920-0877.

What is University Dialysis Center, 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.

Does University Dialysis Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0930579) is associated with this NPI, valid through July 14, 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 University Dialysis Center, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.