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HERNDON DIALYSIS
NPI 1659647808
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fresno, CA

Active since March 31, 2012CLIA 05D2043939 · Waiver
3/5
Overall Rating
560 E HERNDON AVE, STE 101, FRESNO, CA 93720(559) 432-5278(559) 435-1422 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2022, Apr 13, 2021, Jul 26, 2019 (3 updates tracked since 2019).

About Herndon Dialysis NPPES

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

HERNDON DIALYSIS (NPI 1659647808) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fresno, California and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through July 12, 2028 and lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1659647808
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSOUTH FORK DIALYSIS LLC
Location Address560 E HERNDON AVE, STE 101Fresno, CA 93720-2907
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 238-3085 · Fax (800) 268-9682
Phone(559) 432-5278
Fax(559) 435-1422
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateMarch 31, 2012
Last NPPES UpdateFebruary 17, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
✔ NPI 1659647808 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 · 550002083
560 E HERNDON AVE, Fresno, CA 93720
Open in Google Maps ↗

Other Names 1

Doing Business AsHerndon Dialysis

Other Identifiers 1

Medicaid1659647808CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter Health and more.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 05D2043939

Herndon Dialysis · Fresno, CA
Active · expires Jul 12, 2028
CLIA Number05D2043939
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorMei Tsuey Hwang
Laboratory Phone(559) 432-5278
Laboratory LocationHerndon Dialysis560 E Herndon Ave Ste 101, Fresno, CA 93720
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 Herndon Dialysis (CMS certification number 552702), from CMS Care Compare.

DaVita Herndon Dialysis

Dialysis facility · Fresno, CA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552702
ESRD NetworkNetwork 17
Hemodialysis Stations48
Medicare-Certified SinceSeptember 26, 2012
Location560 E HERNDON AVE, STE 101Fresno, CA 93720 · Fresno County
Phone(559) 432-5278
Services Offered
In-center hemodialysis Evening shifts (after 5 PM)

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
57% 2/5
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.
52% 2/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
77% 2/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
60% 2/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
55% 2/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
64% 2/5
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 4

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

LORILEE PERRY NP
Nurse Practitioner (Family)
560 E HERNDON AVE, STE 201
FRESNO, CA 93720
Fresno County (559) 437-7311
MICHAEL H LEMUS PA-C
Physician Assistant
560 E HERNDON AVE, STE 201
FRESNO, CA 93720
Fresno County (559) 437-7380
PAIGE POTTER PA
Physician Assistant
560 E HERNDON AVE, STE 201
FRESNO, CA 93720
Fresno County (559) 437-7304
MR. WILLIAM COY DIXON PA
Physician Assistant
560 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 437-7304

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 South Fork Dialysis LLC's NPI number?

The NPI number for South Fork Dialysis LLC is 1659647808. It was assigned to this organization in the NPPES registry on March 31, 2012. The provider is doing business as Herndon Dialysis.

Where is South Fork Dialysis LLC located?

South Fork Dialysis LLC is located at 560 E Herndon Ave Ste 101, Fresno, CA 93720. The listed phone number is (559) 432-5278.

What is South Fork 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 South Fork Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2043939) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is South Fork Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Herndon Dialysis is a Medicare-certified dialysis facility, certified since September 26, 2012.

What quality rating does South Fork Dialysis LLC have?

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

What insurance does South Fork Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and UnitedHealthcare list South Fork 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 South Fork Dialysis LLC was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.