YUMA DIALYSIS
NPI 1164785747
Chronic Disease Hospital in Yuma, AZ
NPI Status: Active since June 19, 2012
Contact Information
2130 W 24TH ST
YUMA, AZ
ZIP 85364
Phone: (928) 783-2365
- Organization
- Chronic Disease Hospital
- CLIA Number: 03D0531510
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 08-31-2026
About YUMA DIALYSIS
This page provides the complete NPI Profile along with additional information for Yuma Dialysis, a provider established in Yuma, Arizona operating as a Chronic Disease Hospital. The healthcare provider is registered in the NPI registry with number 1164785747 assigned on June 2012. The practitioner's primary taxonomy code is 281P00000X with license number OTC-3619 (AZ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Yuma Dialysis. The authorized official of this NPI record is Tyler Bloom (No Response Claims Manager)
- NPI
- 1164785747
- Provider Legal Name
- DVA HEALTHCARE RENAL CARE, INC.
- Other Organization Name
- YUMA DIALYSIS
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2130 W 24TH ST YUMA, AZ 85364
- Location Phone
- (928) 783-2365
- Mailing Address
- 2130 W 24TH ST YUMA, AZ 85364
- Mailing Phone
- (928) 783-6122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2012
- Last Update Date
- 06-19-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chronic Disease Hospital
- Taxonomy Code
- 281P00000X
- Type
- Hospitals
- License No.
- OTC-3619
- License State
- AZ
- Taxonomy Description
- (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D0531510
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- KAMAL E. AHMED, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Yuma Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164785747, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
YUMA, AZ 85364
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164785747, enumerated as an "organization" on June 19, 2012.
The provider is located at 2130 W 24TH ST YUMA, AZ 85364 and the phone number is (928) 783-2365.
Chronic Disease Hospital with taxonomy code 281P00000X.
