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BASTANCHURY DIALYSIS
NPI 1154755163
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fullerton, CA

Active since August 27, 2013CLIA 05D2068431 · Waiver
5/5
Overall Rating
1950 SUNNYCREST DR, STE 1300, FULLERTON, CA 92835(714) 578-0015(714) 578-5907 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 10, 2025, Jul 30, 2019 (2 updates tracked since 2019).

About Bastanchury Dialysis NPPES

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

BASTANCHURY DIALYSIS (NPI 1154755163) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fullerton, California and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1154755163
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameHAZELTON DIALYSIS LLC
Location Address1950 SUNNYCREST DR, STE 1300Fullerton, CA 92835-3639
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(714) 578-0015
Fax(714) 578-5907
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateAugust 27, 2013
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1154755163 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
1950 SUNNYCREST DR, Fullerton, CA 92835
Open in Google Maps ↗

Other Names 1

Doing Business AsBastanchury Dialysis

Other Identifiers 1

Medicaid1154755163CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, 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 05D2068431

Bastanchury Dialysis · Fullerton, CA
Active · expires Nov 3, 2027
CLIA Number05D2068431
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorNancy Hernandez
Laboratory Phone(714) 578-0018
Laboratory LocationBastanchury Dialysis1950 Sunnycrest Dr, Ste 1300, Fullerton, CA 92835
CLIA data matches this NPI record on: Address 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 Bastanchury Dialysis (CMS certification number 552759), from CMS Care Compare.

DaVita Bastanchury Dialysis

Dialysis facility · Fullerton, CA
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552759
ESRD NetworkNetwork 18
Hemodialysis Stations25
Medicare-Certified SinceSeptember 24, 2014
Location1950 Sunnycrest Dr Ste 1300Fullerton, CA 92835 · Orange County
Phone(714) 578-0015
Services Offered
In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES 14

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

SCOTT AU, MD, INC
Physical Medicine & Rehabilitation
1950 SUNNYCREST DR, SUITE 2000
FULLERTON, CA 92835
Orange County (714) 773-7000
DEIRDRE T MOXLEY PA-C
Physician Assistant (Medical)
1950 SUNNYCREST DR, SUITE 2300
FULLERTON, CA 92835
Orange County (714) 870-4772
STEPHEN M WILSON M.D.
Surgery
1950 SUNNYCREST DR, SUITE 2600
FULLERTON, CA 92835
Orange County (714) 446-5260
DR. DONALD W HENDERSON MD
Obstetrics & Gynecology
1950 SUNNYCREST DR, SUITE 2800
FULLERTON, CA 92835
Orange County (714) 992-5350
DR. STUART L FELDMAN M.D.
Urology
1950 SUNNYCREST DR, #3400
FULLERTON, CA 92835
Orange County (714) 879-2410
DR. ALI S ALAVI M.D.
Urology
1950 SUNNYCREST DR, #3400
FULLERTON, CA 92835
Orange County (714) 879-2410
DR. ROBERT EMMITT MCCOY M.D.
Surgery
1950 SUNNYCREST DR, STE 2600
FULLERTON, CA 92835
Orange County (714) 446-5260
JASENG ALTERNATIVE HEALTH CORPORATION
Acupuncturist
1950 SUNNYCREST DR, SUITE 2000
FULLERTON, CA 92835
Orange County (714) 773-7000

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 Hazelton Dialysis LLC's NPI number?

The NPI number for Hazelton Dialysis LLC is 1154755163. It was assigned to this organization in the NPPES registry on August 27, 2013. The provider is doing business as Bastanchury Dialysis.

Where is Hazelton Dialysis LLC located?

Hazelton Dialysis LLC is located at 1950 Sunnycrest Dr Ste 1300, Fullerton, CA 92835. The listed phone number is (714) 578-0015.

What is Hazelton Dialysis 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 Hazelton Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2068431) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hazelton Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Bastanchury Dialysis is a Medicare-certified dialysis facility, certified since September 24, 2014.

What quality rating does Hazelton Dialysis LLC have?

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

What insurance does Hazelton Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and UnitedHealthcare list Hazelton Dialysis LLC 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 Hazelton Dialysis LLC was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.