CREEKSIDE DIALYSIS CENTER
NPI 1669433033
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Vacaville, CA

Active since March 28, 2006CLIA 05D1013577 · Waiver
4/5
Overall Rating
141 PARKER ST, VACAVILLE, CA 95688(707) 453-1325(707) 453-1329 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, May 8, 2024, Nov 8, 2023 and 3 more (6 updates tracked since 2019).

About Creekside Dialysis Center NPPES

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

CREEKSIDE DIALYSIS CENTER (NPI 1669433033) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Vacaville, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1669433033
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS CALIFORNIA INC
Location Address141 PARKER STVacaville, CA 95688-3921
Mailing Address5200 Virginia Way, L&c DepartmentBrentwood, TN 37027-7569
Fax(707) 453-1329
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMarch 28, 2006
Last NPPES UpdateAugust 12, 20246 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1669433033 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 · 110000508
141 PARKER ST, Vacaville, CA 95688

Other Names 1

Doing Business AsCreekside Dialysis Center

Other Identifiers 1

Medicaid1669433033CA

Accepted 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 05D1013577

Creekside Dialysis Center · Vacaville, CA
Active · expires Jun 10, 2027
CLIA Number05D1013577
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorPiangwarin Phaosawasdi
Laboratory Phone(707) 453-1325
Laboratory LocationCreekside Dialysis Center141 Parker Street, Vacaville, CA 95688
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 Creekside Dialysis Center (CMS certification number 552510), from CMS Care Compare.

DaVita Creekside Dialysis Center

Dialysis facility · Vacaville, CA
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552510
ESRD NetworkNetwork 17
Hemodialysis Stations12
Medicare-Certified SinceAugust 6, 2003
Location141 PARKER STREETVacaville, CA 95688 · Solano County
Services Offered
In-center hemodialysis

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 Renal Treatment Centers California Inc's NPI number?

The NPI number for Renal Treatment Centers California Inc is 1669433033. It was assigned to this organization in the NPPES registry on March 28, 2006. The provider is doing business as Creekside Dialysis Center.

Where is Renal Treatment Centers California Inc located?

Renal Treatment Centers California Inc is located at 141 Parker St, Vacaville, CA 95688. The listed phone number is (707) 453-1325.

What is Renal Treatment Centers California Inc'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 Renal Treatment Centers California Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1013577) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers California Inc a Medicare-certified dialysis facility?

Yes. DaVita Creekside Dialysis Center is a Medicare-certified dialysis facility, certified since August 6, 2003.

What quality rating does Renal Treatment Centers California Inc have?

CMS rates DaVita Creekside Dialysis Center 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Treatment Centers California Inc accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and UnitedHealthcare list Renal Treatment Centers California Inc 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 Renal Treatment Centers California Inc was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.