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: August 09, 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 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 05D1005658

Carmel Mountain Dialysis · San Diego, CA
Active · expires Nov 11, 2026
CLIA Number05D1005658
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorKaro Torosian
Laboratory Phone(858) 538-1083
Laboratory LocationCarmel Mountain Dialysis9850 Carmel Mountain Rd, San Diego, CA 92129
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
9850 CARMEL MOUNTAIN RD
SAN DIEGO, CA 92129

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 Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1467426742. It was assigned to this organization in the NPPES registry on February 14, 2006. The provider is doing business as Carmel Mountain Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 9850 Carmel Mountain Rd, San Diego, CA 92129. The listed phone number is (858) 538-1083.

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

Yes. A Certificate of Waiver (number 05D1005658) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for DVA Renal Healthcare Inc was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.