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BULLARDS DIALYSIS LLC
NPI 1497030852
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Cameron Park, CA

Active since October 18, 2011
3311 COACH LN, STE C, CAMERON PARK, CA 95682(530) 677-5114(530) 677-5190 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2024, May 17, 2022, Jan 26, 2021 and 3 more (6 updates tracked since 2018).

About Bullards Dialysis Llc NPPES

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

BULLARDS DIALYSIS LLC (NPI 1497030852), doing business as Cameron Park Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Cameron Park, California and active in the NPI registry since October 2011. The organization lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1497030852
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBULLARDS DIALYSIS LLC
Location Address3311 COACH LN, STE CCameron Park, CA 95682-7247
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(530) 677-5114
Fax(530) 677-5190
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateOctober 18, 2011
Last NPPES UpdateJune 9, 20266 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1497030852 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 · 110000457
3311 COACH LN, Cameron Park, CA 95682
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Other Names 1

Doing Business AsCameron Park Dialysis

Other Identifiers 1

Medicaid1497030852CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3311 COACH LN, STE 3
CAMERON PARK, CA 95682
El Dorado County (530) 677-5114

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 Bullards Dialysis LLC's NPI number?

The NPI number for Bullards Dialysis LLC is 1497030852. It was assigned to this organization in the NPPES registry on October 18, 2011. The provider is doing business as Cameron Park Dialysis.

Where is Bullards Dialysis LLC located?

Bullards Dialysis LLC is located at 3311 Coach Ln Ste C, Cameron Park, CA 95682. The listed phone number is (530) 677-5114.

What is Bullards 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.

What insurance does Bullards Dialysis LLC accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Bullards 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 Bullards Dialysis LLC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.