OUTPATIENT SERVICES - PERITONEAL DIALYSIS AT KAISER MORENO VALLEY CAPD
NPI 1619432598
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Moreno Valley, CA
Overall Rating: 4 out of 5 stars
NPI Status: Active since February 05, 2019
Contact Information
27200 IRIS AVENUE MOB 2
MORENO VALLEY, CA
ZIP 92555
Phone: (951) 251-6205
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 05D2074183
- CLIA Cert. Type: Health Main. Organization
- CLIA Exp. Date: 03-02-2028
About OUTPATIENT SERVICES - PERITONEAL DIALYSIS AT KAISER MORENO VALLEY CAPD
This page provides the complete NPI Profile along with additional information for Outpatient Services - Peritoneal Dialysis At Kaiser Moreno Valley Capd, a provider established in Moreno Valley, California operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1619432598 assigned on February 2019. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Outpatient Services - Peritoneal Dialysis At Kaiser Moreno Valley Capd. The authorized official of this NPI record is Vita Willett (Svp And Area Manager)
- NPI
- 1619432598
- Provider Legal Name
- KAISER FOUNDATION HOSPITALS
- Other Organization Name
- OUTPATIENT SERVICES - PERITONEAL DIALYSIS AT KAISER MORENO VALLEY CAPD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 27200 IRIS AVENUE MOB 2 MORENO VALLEY, CA 92555
- Location Phone
- (951) 251-6205
- Mailing Address
- 27200 IRIS AVENUE MOB 2 MORENO VALLEY, CA 92555
- Mailing Phone
- (951) 251-6205
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-05-2019
- Last Update Date
- 04-14-2021
- Code Navigator
According to the Dialysis Facility Compare program data, Outpatient Services - Peritoneal Dialysis At Kaiser Moreno Valley Capd has an above average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 4 out of 5 stars.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Dialysis Facility Compare Information
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
- 05D2074183
- Facility Type
- Health Main. Organization
- Certificate Effective Date
- March 03, 2026
- Certificate Expiration Date
- March 02, 2028
- Laboratory Director
- ANH H. PHAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Outpatient Services - Peritoneal Dialysis At Kaiser Moreno Valley Capd in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1619432598, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619432598, enumerated as an "organization" on February 05, 2019.
The provider is located at 27200 IRIS AVENUE MOB 2 MORENO VALLEY, CA 92555 and the phone number is (951) 251-6205.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
