ANTELOPE DIALYSIS CENTER
NPI 1356300289
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Citrus Heights, CA

NPI Status: Active since March 20, 2006

Contact Information

6406 TUPELO DR
#A
CITRUS HEIGHTS, CA
ZIP 95621
Phone: (916) 721-1800
Fax: (916) 721-4376

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 05D0930590
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 07-14-2027

About ANTELOPE DIALYSIS CENTER

This page provides the complete NPI Profile along with additional information for Antelope Dialysis Center, a provider established in Citrus Heights, California operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1356300289 assigned on March 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's is doing business as Antelope Dialysis Center. The authorized official of this NPI record is Thomas O Usilton Jr. (Group Vice President)

NPI
1356300289
Provider Legal Name
TOTAL RENAL CARE INC
Other Organization Name
ANTELOPE DIALYSIS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6406 TUPELO DR #A CITRUS HEIGHTS, CA 95621
Location Phone
(916) 721-1800
Location Fax
(916) 721-4376
Mailing Address
5200 VIRGINIA WAY STE 400 L&C BRENTWOOD, TN 37027
Mailing Phone
(615) 320-4435
Mailing Fax
(916) 721-4376
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2006
Last Update Date
09-26-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS O USILTON JR.

Authorized Official Title
GROUP VICE PRESIDENT
Authorized Official Phone
(770) 541-7922

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CDC02663GMEDICAID (05)CA 
052663MEDICARE OSCAR/CERTIFICATION (06) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0930590
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
July 15, 2025
Certificate Expiration Date
July 14, 2027
Laboratory Director
ROHIT B. KASHYAP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Antelope Dialysis Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356300289, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 6 + 0 + 0 + 2 + 1 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1356300289.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
6406 TUPELO DR, STE A
CITRUS HEIGHTS, CA 95621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356300289, enumerated as an "organization" on March 20, 2006.

The provider is located at 6406 TUPELO DR #A CITRUS HEIGHTS, CA 95621 and the phone number is (916) 721-1800.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.