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LAKE ELSINORE DIALYSIS
NPI 1205895869
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lake Elsinore, CA

Active since March 22, 2006CLIA 05D1000652 · Waiver
3/5
Overall Rating
32291 MISSION TRL, BLDG S, LAKE ELSINORE, CA 92530(951) 674-5050(951) 674-5570 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 24, 2024, Jul 16, 2024, Feb 24, 2022 and 4 more (7 updates tracked since 2019).

About Lake Elsinore Dialysis NPPES

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

LAKE ELSINORE DIALYSIS (NPI 1205895869) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lake Elsinore, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through June 18, 2028 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1205895869
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDAVITA RIVERSIDE LLC
Location Address32291 MISSION TRL, BLDG SLake Elsinore, CA 92530-2310
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(951) 674-5050
Fax(951) 674-5570
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMarch 22, 2006
Last NPPES UpdateDecember 24, 20247 updates tracked since enumeration
NPPES CertifiedDecember 24, 2024
✔ NPI 1205895869 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
License✔ Licensed in CA · 240000841
32291 MISSION TRL, Lake Elsinore, CA 92530
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Elsinore Dialysis

Other Identifiers 1

Medicaid1205895869CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete 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 05D1000652

Lake Elsinore Dialysis Center · Lake Elsinore, CA
Active · expires Jun 18, 2028
CLIA Number05D1000652
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 19, 2026
Certificate Expiration DateJune 18, 2028
Laboratory DirectorDavid Chang, MD
Laboratory Phone(951) 674-5050
Laboratory LocationLake Elsinore Dialysis Center32291 Mission Trail Rd Bldg S, Lake Elsinore, CA 92530
CLIA data matches this NPI record on: Name Phone
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 Lake Elsinore Dialysis (CMS certification number 052895), from CMS Care Compare.

DaVita Lake Elsinore Dialysis

Dialysis facility · Lake Elsinore, CA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number052895
ESRD NetworkNetwork 18
Hemodialysis Stations18
Medicare-Certified SinceNovember 18, 2002
Location32291 Mission Trail BLDG SLake Elsinore, CA 92530 · Riverside County
Phone(951) 674-5050
Services Offered
In-center hemodialysis Evening shifts (after 5 PM)

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
81% 5/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
66% 4/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
88% 5/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
85% 5/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
85% 5/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
83% 4/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

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 Davita Riverside LLC's NPI number?

The NPI number for Davita Riverside LLC is 1205895869. It was assigned to this organization in the NPPES registry on March 22, 2006. The provider is doing business as Lake Elsinore Dialysis.

Where is Davita Riverside LLC located?

Davita Riverside LLC is located at 32291 Mission Trl Bldg S, Lake Elsinore, CA 92530. The listed phone number is (951) 674-5050.

What is Davita Riverside 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 Davita Riverside LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1000652) is associated with this NPI, valid through June 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Davita Riverside LLC a Medicare-certified dialysis facility?

Yes. DaVita Lake Elsinore Dialysis is a Medicare-certified dialysis facility, certified since November 18, 2002.

What quality rating does Davita Riverside LLC have?

CMS rates DaVita Lake Elsinore Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Davita Riverside LLC accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Davita Riverside 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 Davita Riverside LLC was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.