MORENO VALLEY DIALYSIS
NPI 1346590106
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Moreno Valley, CA

Active since September 19, 2012
22620 GOLDENCREST DR, STE 101, MORENO VALLEY, CA 92553(951) 656-3804(951) 656-7508 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2021, Jun 21, 2019 (2 updates tracked since 2019).

About Moreno Valley Dialysis NPPES

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

MORENO VALLEY DIALYSIS (NPI 1346590106) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Moreno Valley, California and active in the NPI registry since September 2012. The organization lists John D. Winstel, Cheif Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1346590106
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFLAGLER DIALYSIS LLC
Location Address22620 GOLDENCREST DR, STE 101Moreno Valley, CA 92553-9032
Mailing Address5200 Virginia Way, L&c Dept.Brentwood, TN 37027-7569 · (615) 341-6793 · Fax (877) 790-2174
Fax(951) 656-7508
Organization SubpartNo
Authorized OfficialJohn D. WinstelCheif Accounting Officer · (253) 733-4501
Enumeration DateSeptember 19, 2012
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1346590106 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 · 240000808
22620 GOLDENCREST DR, Moreno Valley, CA 92553

Other Names 1

Doing Business AsMoreno Valley Dialysis

Other Identifiers 1

Medicaid1346590106CA

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)
22620 GOLDENCREST DR
MORENO VALLEY, CA 92553

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 Flagler Dialysis LLC's NPI number?

The NPI number for Flagler Dialysis LLC is 1346590106. It was assigned to this organization in the NPPES registry on September 19, 2012. The provider is doing business as Moreno Valley Dialysis.

Where is Flagler Dialysis LLC located?

Flagler Dialysis LLC is located at 22620 Goldencrest Dr Ste 101, Moreno Valley, CA 92553. The listed phone number is (951) 656-3804.

What is Flagler Dialysis 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 Flagler Dialysis LLC was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.