CARMEL MOUNTAIN DIALYSIS
NPI 1467426742
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Diego, CA

Active since February 14, 2006CLIA 05D1005658 · Waiver
9850 CARMEL MOUNTAIN RD, SAN DIEGO, CA 92129(858) 538-1083(858) 538-6734 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carmel Mountain Dialysis NPPES

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

CARMEL MOUNTAIN DIALYSIS (NPI 1467426742) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Diego, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Thomas O Usilton, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1467426742
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address9850 CARMEL MOUNTAIN RDSan Diego, CA 92129-2812
Mailing Address5200 Virginia Way, Ste 400Brentwood, TN 37027-7569 · (615) 320-4435 · Fax (303) 209-7821
Fax(858) 538-6734
Organization SubpartNo
Authorized OfficialThomas O UsiltonGroup Vice President · (770) 541-7922
Enumeration DateFebruary 14, 2006
Last NPPES UpdateAugust 14, 2007
NPI 1467426742 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
9850 CARMEL MOUNTAIN RD, San Diego, CA 92129

Other Names 1

Doing Business AsCarmel Mountain Dialysis

Other Identifiers 2

MedicaidCDC52515FCA
Medicare OSCAR/certification552515

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
05D1005658
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
November 12, 2024
Certificate Expiration Date
November 11, 2026
Laboratory Director
KARO TOROSIAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Carmel Mountain 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.

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)
9850 CARMEL MOUNTAIN RD
SAN DIEGO, CA 92129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467426742, enumerated as an "organization" on February 14, 2006.

The provider is located at 9850 CARMEL MOUNTAIN RD SAN DIEGO, CA 92129 and the phone number is (858) 538-1083.

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.