YUMA DIALYSIS
NPI 1164785747
Chronic Disease Hospital in Yuma, AZ

Active since June 19, 2012CLIA 03D0531510 · Waiver
2130 W 24TH ST, YUMA, AZ 85364(928) 783-2365 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Yuma Dialysis NPPES

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

YUMA DIALYSIS (NPI 1164785747) is a healthcare organization registered as a chronic disease hospital in Yuma, Arizona and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tyler Bloom, No Response Claims Manager, as its authorized official.

NPPES Registry Identity

NPI1164785747
Entity TypeOrganization
Primary Taxonomy281P00000X
Legal Business NameDVA HEALTHCARE RENAL CARE, INC.
Location Address2130 W 24TH STYuma, AZ 85364-6122
Mailing Address2130 W 24th StYuma, AZ 85364-6122 · (928) 783-6122
Organization SubpartNo
Authorized OfficialTyler BloomNo Response Claims Manager · (253) 382-1108
Enumeration DateJune 19, 2012
NPI 1164785747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChronic Disease HospitalHospitals
Taxonomy Code281P00000X
License Licensed in AZ · OTC-3619
Definition

(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.

2130 W 24TH ST, Yuma, AZ 85364

Other Names 1

Other NameYuma 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 03D0531510

Yuma Dialysis · Yuma, AZ
Active · expires Aug 31, 2026
CLIA Number03D0531510
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKamal E. Ahmed, MD
Laboratory Phone(928) 783-2365
Laboratory LocationYuma Dialysis2130 West 24th Street, Yuma, AZ 85364
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2130 W 24TH ST
YUMA, AZ 85364

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 Healthcare Renal Care, Inc.'s NPI number?

The NPI number for DVA Healthcare Renal Care, Inc. is 1164785747. It was assigned to this organization in the NPPES registry on June 19, 2012. The provider is also known as Yuma Dialysis.

Where is DVA Healthcare Renal Care, Inc. located?

DVA Healthcare Renal Care, Inc. is located at 2130 W 24th St, Yuma, AZ 85364. The listed phone number is (928) 783-2365.

What is DVA Healthcare Renal Care, Inc.'s specialty?

The primary specialty registered for this NPI is Chronic Disease Hospital with taxonomy code 281P00000X.

Does DVA Healthcare Renal Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0531510) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for DVA Healthcare Renal Care, Inc. was last updated on June 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.