PENINSULA DIALYSIS ACCESS, LLC
NPI 1346062999
Clinic/Center - Ambulatory Surgical in South San Francisco, CA

Active since October 25, 2024CLIA 05D2319481 · Waiver
91 WESTBOROUGH BLVD STE 1010, SOUTH SAN FRANCISCO, CA 94080(408) 410-9266(408) 877-3786 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peninsula Dialysis Access, Llc NPPES

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

PENINSULA DIALYSIS ACCESS, LLC (NPI 1346062999) is a healthcare organization registered as an ambulatory surgical in South San Francisco, California and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Chris Mcmahon, Vice President, as its authorized official.

NPPES Registry Identity

NPI1346062999
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePENINSULA DIALYSIS ACCESS CENTER
Location Address91 WESTBOROUGH BLVD STE 1010South San Francisco, CA 94080-3196
Mailing Address91 Westborough Blvd Ste 1010South San Francisco, CA 94080-3196 · (408) 410-9266 · Fax (408) 877-3786
Fax(408) 877-3786
Organization SubpartNo
Authorized OfficialChris McmahonVice President · (408) 410-9266
Enumeration DateOctober 25, 2024
Last NPPES UpdateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
NPI 1346062999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
91 WESTBOROUGH BLVD STE 1010, South San Francisco, CA 94080

Other Names 1

Other NamePeninsula Dialysis Access, Llc

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 05D2319481

Penninsula Dialysis Access Center · South San Francisco, CA
Active · expires Feb 27, 2027
CLIA Number05D2319481
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorChristian Cruz
Laboratory Phone(650) 589-8883
Laboratory LocationPenninsula Dialysis Access Center91 Westborough Blvd Suite 1010, South San Francisco, CA 94080
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Peninsula Dialysis Access Center's NPI number?

The NPI number for Peninsula Dialysis Access Center is 1346062999. It was assigned to this organization in the NPPES registry on October 25, 2024. The provider is also known as Peninsula Dialysis Access, LLC.

Where is Peninsula Dialysis Access Center located?

Peninsula Dialysis Access Center is located at 91 Westborough Blvd Ste 1010, South San Francisco, CA 94080. The listed phone number is (408) 410-9266.

What is Peninsula Dialysis Access Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Peninsula Dialysis Access Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2319481) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peninsula Dialysis Access Center was last updated on December 30, 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.