FOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC
NPI 1265633747
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fountain Valley, CA

Q: What is Fountain Valley Regional 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.

Active since May 30, 2007

17150 EUCLID AVENUE, SUITE 111, FOUNTAIN VALLEY, CA 92708(714) 966-1595(714) 966-1555 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fountain Valley Regional Dialysis Center Llc NPPES

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

FOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC (NPI 1265633747) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fountain Valley, California and active in the NPI registry since May 2007. The organization lists Gadsalli Ramaswamy Ravikumar, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1265633747

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameFOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC

Location Address17150 EUCLID AVENUE, SUITE 111Fountain Valley, CA 92708-4092

Mailing Address3356 W Ball Rd, Suite 216Anaheim, CA 92804-3702 · (714) 226-0818 · Fax (714) 226-0700

Phone(714) 966-1595

Fax(714) 966-1555

Organization SubpartNo

Authorized OfficialGadsalli Ramaswamy RavikumarPresident/ceo · (714) 226-0818

Enumeration DateMay 30, 2007

Last NPPES UpdateNovember 27, 2012

✔ NPI 1265633747 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 · 550001163

17150 EUCLID AVENUE, Fountain Valley, CA 92708

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Other Identifiers 1

Medicare PIN552630CA

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 Fountain Valley Regional Dialysis Center LLC's NPI number?

The NPI number for Fountain Valley Regional Dialysis Center LLC is 1265633747. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Fountain Valley Regional Dialysis Center LLC located?

Fountain Valley Regional Dialysis Center LLC is located at 17150 Euclid Avenue Suite 111, Fountain Valley, CA 92708. The listed phone number is (714) 966-1595.

What is Fountain Valley Regional 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.

When was this NPI record last updated?

The NPPES record for Fountain Valley Regional Dialysis Center LLC was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.