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ELK GROVE DIALYSIS
NPI 1568421865
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Elk Grove, CA

Active since March 23, 2006CLIA 05D1028359 · Waiver
3/5
Overall Rating
9281 OFFICE PARK CIR, STE 105, ELK GROVE, CA 95758(916) 691-0480(916) 691-0488 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 10, 2024, Apr 22, 2024, Mar 7, 2024 and 4 more (7 updates tracked since 2019).

About Elk Grove Dialysis NPPES

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

ELK GROVE DIALYSIS (NPI 1568421865) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Elk Grove, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Samuel T. Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1568421865
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameELK GROVE DIALYSIS CENTER LLC
Location Address9281 OFFICE PARK CIR, STE 105Elk Grove, CA 95758-8069
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(916) 691-0480
Fax(916) 691-0488
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 23, 2006
Last NPPES UpdateDecember 10, 20247 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1568421865 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 · 110000518
9281 OFFICE PARK CIR, Elk Grove, CA 95758
Open in Google Maps ↗

Other Names 1

Doing Business AsElk Grove Dialysis

Other Identifiers 1

Medicaid1568421865CA

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 05D1028359

Elk Grove Dialysis Center · Elk Grove, CA
Active · expires Jul 21, 2028
CLIA Number05D1028359
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorDavid Pai
Laboratory Phone(916) 691-0480
Laboratory LocationElk Grove Dialysis Center9281 Office Park Circle Suite 105, Elk Grove, CA 95758
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 Elk Grove Dialysis (CMS certification number 552529), from CMS Care Compare.

DaVita Elk Grove Dialysis

Dialysis facility · Elk Grove, CA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552529
ESRD NetworkNetwork 17
Hemodialysis Stations21
Medicare-Certified SinceJuly 30, 2004
Location9281 OFFICE PARK CIRCLE #105Elk Grove, CA 95758 · Sacramento County
Phone(916) 691-0480
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 15

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

SARAH ELIZABETH MCDOWELL D.P.T.
Physical Therapist
9281 OFFICE PARK CIR, SUITE 110
ELK GROVE, CA 95758
Sacramento County (916) 691-9822
LAGUNA FAMILY PRACTICE
Clinic/Center
9281 OFFICE PARK CIR, SUITE 120
ELK GROVE, CA 95758
Sacramento County (916) 691-4300
DR. KARYN L MACNEIL M.D.
Pediatrics
9281 OFFICE PARK CIR, #120
ELK GROVE, CA 95758
Sacramento County (916) 691-5999
DR. NGOC HAN D VU M.D.
Pediatrics
9281 OFFICE PARK CIR, #120
ELK GROVE, CA 95758
Sacramento County (916) 691-5999
DR. GREGORY EDWARD DOUGLAS MD
Obstetrics & Gynecology
9281 OFFICE PARK CIR, 120
ELK GROVE, CA 95758
Sacramento County (916) 896-1650
LAGUNA FAMILY PRACTICE, INC
Obstetrics & Gynecology
9281 OFFICE PARK CIR, SUITE 120
ELK GROVE, CA 95758
Sacramento County (916) 691-4300
MRS. PAMELA SUE PORTER APRN, MSN, FNP,BC
Nurse Practitioner (Family)
9281 OFFICE PARK CIR, SUITE 120
ELK GROVE, CA 95758
Sacramento County (916) 691-5988
GLENDA GOODWIN MD INC
Obstetrics & Gynecology
9281 OFFICE PARK CIR, SUITE 120
ELK GROVE, CA 95758
Sacramento County (916) 691-4300

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 Elk Grove Dialysis Center LLC's NPI number?

The NPI number for Elk Grove Dialysis Center LLC is 1568421865. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is doing business as Elk Grove Dialysis.

Where is Elk Grove Dialysis Center LLC located?

Elk Grove Dialysis Center LLC is located at 9281 Office Park Cir Ste 105, Elk Grove, CA 95758. The listed phone number is (916) 691-0480.

What is Elk Grove Dialysis Center 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 Elk Grove Dialysis Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1028359) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Elk Grove Dialysis Center LLC a Medicare-certified dialysis facility?

Yes. DaVita Elk Grove Dialysis is a Medicare-certified dialysis facility, certified since July 30, 2004.

What quality rating does Elk Grove Dialysis Center LLC have?

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

What insurance does Elk Grove Dialysis Center LLC accept?

Health plans from UnitedHealthcare list Elk Grove Dialysis Center 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 Elk Grove Dialysis Center LLC was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.