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MOJAVE SAGE DIALYSIS
NPI 1477836039
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Victorville, CA

Active since September 21, 2011CLIA 05D2033528 · Waiver
3/5
Overall Rating
17207 JASMINE ST, VICTORVILLE, CA 92395(760) 241-8167(760) 843-5685 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2024, Sep 26, 2022, May 6, 2021 and 1 more (4 updates tracked since 2019).

About Mojave Sage Dialysis NPPES

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

MOJAVE SAGE DIALYSIS (NPI 1477836039) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Victorville, California and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1477836039
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameVILLANUEVA DIALYSIS LLC
Location Address17207 JASMINE STVictorville, CA 92395-7786
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(760) 241-8167
Fax(760) 843-5685
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 21, 2011
Last NPPES UpdateMay 8, 20244 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1477836039 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 · 550001904
17207 JASMINE ST, Victorville, CA 92395
Open in Google Maps ↗

Other Names 1

Doing Business AsMojave Sage Dialysis

Other Identifiers 1

Medicaid1477836039CA

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 05D2033528

Mojave Sage Dialysis · Victorville, CA
Active · expires Dec 4, 2027
CLIA Number05D2033528
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorSheila Cherian
Laboratory Phone(760) 241-8167
Laboratory LocationMojave Sage Dialysis17207 Jasmine St, Victorville, CA 92395
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 Mojave Sage Dialysis (CMS certification number 552708), from CMS Care Compare.

DaVita Mojave Sage Dialysis

Dialysis facility · Victorville, CA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552708
ESRD NetworkNetwork 18
Hemodialysis Stations24
Medicare-Certified SinceOctober 10, 2012
Location17207 Jasmine StreetVictorville, CA 92395 · San Bernardino County
Phone(760) 241-8167
Services Offered
In-center hemodialysis Peritoneal dialysis

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
72% 4/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
75% 4/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
86% 5/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
74% 5/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
80% 5/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
79% 4/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Other Providers at the Same Location NPPES 3

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

MR. EDGARD MARIO VERA TAPIA MD
Internal Medicine (Nephrology)
17207 JASMINE ST, 2
VICTORVILLE, CA 92395
San Bernardino County (760) 780-4179
EDGARD M VERA MD INC
Internal Medicine (Nephrology)
17207 JASMINE ST, 2
VICTORVILLE, CA 92395
San Bernardino County (760) 780-4179
SHEILA CHERIAN MD
Internal Medicine (Nephrology)
17207 JASMINE ST, 2
VICTORVILLE, CA 92395
San Bernardino County (760) 780-4179

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 Villanueva Dialysis LLC's NPI number?

The NPI number for Villanueva Dialysis LLC is 1477836039. It was assigned to this organization in the NPPES registry on September 21, 2011. The provider is doing business as Mojave Sage Dialysis.

Where is Villanueva Dialysis LLC located?

Villanueva Dialysis LLC is located at 17207 Jasmine St, Victorville, CA 92395. The listed phone number is (760) 241-8167.

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

Yes. A Certificate of Waiver (number 05D2033528) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Villanueva Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Mojave Sage Dialysis is a Medicare-certified dialysis facility, certified since October 10, 2012.

What quality rating does Villanueva Dialysis LLC have?

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

What insurance does Villanueva Dialysis LLC accept?

Health plans from UnitedHealthcare list Villanueva 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 Villanueva Dialysis LLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.