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WEST ELK GROVE DIALYSIS
NPI 1427242080
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Elk Grove, CA

Active since August 28, 2007CLIA 05D1096003 · Waiver
4/5
Overall Rating
2208 KAUSEN DR, STE 100, ELK GROVE, CA 95758(916) 683-5992(916) 683-6025 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 7, 2024, May 17, 2022, Mar 24, 2021 and 1 more (4 updates tracked since 2019).

About West Elk Grove Dialysis NPPES

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

WEST ELK GROVE DIALYSIS (NPI 1427242080) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Elk Grove, California and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1427242080
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWEST ELK GROVE DIALYSIS LLC
Location Address2208 KAUSEN DR, STE 100Elk Grove, CA 95758-7174
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(916) 683-5992
Fax(916) 683-6025
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateAugust 28, 2007
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1427242080 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
2208 KAUSEN DR, Elk Grove, CA 95758
Open in Google Maps ↗

Other Names 1

Doing Business AsWest Elk Grove Dialysis

Other Identifiers 1

Medicaid1427242080CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter Health and more.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 05D1096003

West Elk Grove Dialysis · Elk Grove, CA
Active · expires Feb 22, 2027
CLIA Number05D1096003
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorElena Gelfand
Laboratory Phone(916) 683-5992
Laboratory LocationWest Elk Grove Dialysis2208 Kausen Dr Ste 100, Elk Grove, CA 95758
CLIA data matches this NPI record on: Address 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 West Elk Grove Dialysis (CMS certification number 552604), from CMS Care Compare.

DaVita West Elk Grove Dialysis

Dialysis facility · Elk Grove, CA
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552604
ESRD NetworkNetwork 17
Hemodialysis Stations22
Medicare-Certified SinceAugust 27, 2008
Location2208 KAUSEN DRIVE SUITE 100Elk Grove, CA 95758 · Sacramento County
Phone(916) 683-5992
Services Offered
In-center hemodialysis

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 West Elk Grove Dialysis LLC's NPI number?

The NPI number for West Elk Grove Dialysis LLC is 1427242080. It was assigned to this organization in the NPPES registry on August 28, 2007. The provider is doing business as West Elk Grove Dialysis.

Where is West Elk Grove Dialysis LLC located?

West Elk Grove Dialysis LLC is located at 2208 Kausen Dr Ste 100, Elk Grove, CA 95758. The listed phone number is (916) 683-5992.

What is West Elk Grove 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.

Does West Elk Grove Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1096003) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is West Elk Grove Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita West Elk Grove Dialysis is a Medicare-certified dialysis facility, certified since August 27, 2008.

What quality rating does West Elk Grove Dialysis LLC have?

CMS rates DaVita West Elk Grove Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does West Elk Grove Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and UnitedHealthcare list West Elk Grove Dialysis 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 West Elk Grove Dialysis LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.