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


Overall Rating: 4 out of 5 stars

NPI Status: Active since August 28, 2007

Contact Information

2208 KAUSEN DR
STE 100
ELK GROVE, CA
ZIP 95758
Phone: (916) 683-5992
Fax: (916) 683-6025

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance
  • CLIA Number: 05D1096003
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 02-22-2027

About WEST ELK GROVE DIALYSIS

This page provides the complete NPI Profile along with additional information for West Elk Grove Dialysis, a provider established in Elk Grove, 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 1427242080 assigned on August 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as West Elk Grove Dialysis. The authorized official of this NPI record is Samuel T. Wey (Vp, Licensure & Certification)

NPI
1427242080
Provider Legal Name
WEST ELK GROVE DIALYSIS LLC
Other Organization Name
WEST ELK GROVE DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2208 KAUSEN DR STE 100 ELK GROVE, CA 95758
Location Phone
(916) 683-5992
Location Fax
(916) 683-6025
Mailing Address
5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2007
Last Update Date
10-07-2024
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According to the Dialysis Facility Compare program data, West Elk Grove Dialysis has an above average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 4 out of 5 stars.

Location Map

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

Insurance Plans Accepted

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

  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver (Select) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic (Select) - HMO
  • Gold Classic Standard (Select) - HMO
  • Gold Elite Saver Plus (Select) - HMO
  • Secure (Select) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus (Select) - HMO
  • Silver Simple Chronic Care CKM (Select) - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with Atrium Health - HMO
  • Gold Elite Saver Plus - HMO
  • Gold Elite Saver Plus | with Atrium Health - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard (Choice) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard (Choice) - HMO
  • Bronze Classic - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 - PPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard - PPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus - PPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Bronze Classic PCP Saver - HMO
  • Bronze Classic Standard - HMO
  • Bronze Simple HSA - HMO
  • Gold Classic Standard - HMO
  • Gold Elite - HMO
  • Gold Elite Saver Plus - HMO
  • Secure - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple Chronic Care CKM - HMO

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

SAMUEL T. WEY

Authorized Official Title
VP, LICENSURE & CERTIFICATION
Authorized Official Phone
(615) 341-6641

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
1427242080MEDICAID (05)CA 

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 4 out of 5 stars - Above Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameDaVita
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
22
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
No
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date08-27-2008

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
05D1096003
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
February 23, 2025
Certificate Expiration Date
February 22, 2027
Laboratory Director
ELENA GELFAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to West Elk Grove Dialysis 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.

Reviews for WEST ELK GROVE DIALYSIS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427242080
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447444016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 4 + 4 + 0 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1427242080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427242080, enumerated as an "organization" on August 28, 2007.

The provider is located at 2208 KAUSEN DR STE 100 ELK GROVE, CA 95758 and the phone number is (916) 683-5992.

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

The provider might be accepting Accepts: Oscar Health Insurance, Oscar Health Plan of North. Please consult your insurance carrier or call the provider to verify.