STOCKTON HOME TRAINING DIALYSIS
NPI 1437124476
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Stockton, CA

Active since February 22, 2006CLIA 05D1025305 · Waiver
3/5
Overall Rating
5608 N PERSHING AVE, STOCKTON, CA 95207(209) 954-9563(209) 954-9938 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2022, Jul 19, 2021, Oct 8, 2019 (3 updates tracked since 2019).

About Stockton Home Training Dialysis NPPES

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

STOCKTON HOME TRAINING DIALYSIS (NPI 1437124476) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Stockton, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists John D. Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1437124476
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE INC
Location Address5608 N PERSHING AVEStockton, CA 95207-4906
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 238-3085 · Fax (800) 268-9682
Fax(209) 954-9938
Organization SubpartNo
Authorized OfficialJohn D. WinstelChief Accounting Officer · (253) 733-7501
Enumeration DateFebruary 22, 2006
Last NPPES UpdateAugust 2, 20223 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
NPI 1437124476 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
5608 N PERSHING AVE, Stockton, CA 95207

Other Names 1

Doing Business AsStockton Home Training Dialysis

Other Identifiers 1

Medicaid1437124476CA

Accepted 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 05D1025305

Stockton Home Training Dialysis · Stockton, CA
Active · expires Feb 25, 2027
CLIA Number05D1025305
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorJerry Soung
Laboratory Phone(209) 954-9563
Laboratory LocationStockton Home Training Dialysis5608 N Pershing Ave, Stockton, CA 95207
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 Stockton Home Training Dialysis (CMS certification number 552523), from CMS Care Compare.

DaVita Stockton Home Training Dialysis

Dialysis facility · Stockton, CA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552523
ESRD NetworkNetwork 17
Medicare-Certified SinceJuly 14, 2004
Location5608 NORTH PERSHING AVEStockton, CA 95207 · San Joaquin County
Services Offered
Peritoneal dialysis

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 DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1437124476. It was assigned to this organization in the NPPES registry on February 22, 2006. The provider is doing business as Stockton Home Training Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 5608 N Pershing Ave, Stockton, CA 95207. The listed phone number is (209) 954-9563.

What is DVA Healthcare Renal Care Inc'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 DVA Healthcare Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1025305) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Healthcare Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Stockton Home Training Dialysis is a Medicare-certified dialysis facility, certified since July 14, 2004.

What quality rating does DVA Healthcare Renal Care Inc have?

CMS rates DaVita Stockton Home Training Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Healthcare Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and UnitedHealthcare list DVA Healthcare Renal Care Inc 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 DVA Healthcare Renal Care Inc was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.