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STEVENS CREEK DIALYSIS
NPI 1457797474
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Jose, CA

Active since May 16, 2013CLIA 05D2066260 · Waiver
3/5
Overall Rating
275 DI SALVO AVE, SAN JOSE, CA 95128(408) 297-0103(408) 297-2265 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 15, 2021, Nov 8, 2021, Mar 24, 2020 and 2 more (5 updates tracked since 2018).

About Stevens Creek Dialysis NPPES

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

STEVENS CREEK DIALYSIS (NPI 1457797474) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Jose, California and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1457797474
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCLOVER DIALYSIS LLC
Location Address275 DI SALVO AVESan Jose, CA 95128-1628
Mailing Address5200 Virginia Way, L & C DeptBrentwood, TN 37027-7569
Phone(408) 297-0103
Fax(408) 297-2265
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMay 16, 2013
Last NPPES UpdateAugust 30, 20245 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
✔ NPI 1457797474 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 · 550002503
275 DI SALVO AVE, San Jose, CA 95128
Open in Google Maps ↗

Other Names 1

Doing Business AsStevens Creek Dialysis

Other Identifiers 1

Medicaid1457797474CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 05D2066260

Stevens Creek Dialysis · San Jose, CA
Active · expires Sep 23, 2027
CLIA Number05D2066260
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorAddy Squarer
Laboratory Phone(408) 297-0103
Laboratory LocationStevens Creek Dialysis275 Di Salvo Ave, San Jose, CA 95128
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 Stevens Creek Dialysis (CMS certification number 552738), from CMS Care Compare.

DaVita Stevens Creek Dialysis

Dialysis facility · San Jose, CA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552738
ESRD NetworkNetwork 17
Hemodialysis Stations24
Medicare-Certified SinceNovember 26, 2013
Location275 DI SALVO AVESan Jose, CA 95128 · Santa Clara County
Phone(408) 297-0103
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 Clover Dialysis LLC's NPI number?

The NPI number for Clover Dialysis LLC is 1457797474. It was assigned to this organization in the NPPES registry on May 16, 2013. The provider is doing business as Stevens Creek Dialysis.

Where is Clover Dialysis LLC located?

Clover Dialysis LLC is located at 275 Di Salvo Ave, San Jose, CA 95128. The listed phone number is (408) 297-0103.

What is Clover 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 Clover Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2066260) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Clover Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Stevens Creek Dialysis is a Medicare-certified dialysis facility, certified since November 26, 2013.

What quality rating does Clover Dialysis LLC have?

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

What insurance does Clover Dialysis LLC accept?

Health plans from UnitedHealthcare list Clover 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 Clover Dialysis LLC was last updated on August 30, 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.