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NEWPORT IRVINE DIALYSIS
NPI 1679995948
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Newport Beach, CA

Active since January 06, 2014CLIA 05D2091441 · Waiver
4/5
Overall Rating
4300 VON KARMAN AVE, NEWPORT BEACH, CA 92660(949) 863-1382(949) 863-1407 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 24, 2024, Oct 16, 2023, Jul 18, 2022 and 3 more (6 updates tracked since 2017).

About Newport Irvine Dialysis NPPES

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

NEWPORT IRVINE DIALYSIS (NPI 1679995948) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Newport Beach, California and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1679995948
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWALCOTT DIALYSIS LLC
Location Address4300 VON KARMAN AVENewport Beach, CA 92660-2004
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(949) 863-1382
Fax(949) 863-1407
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateJanuary 6, 2014
Last NPPES UpdateApril 24, 20246 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1679995948 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 · 550003126
4300 VON KARMAN AVE, Newport Beach, CA 92660
Open in Google Maps ↗

Other Names 1

Doing Business AsNewport Irvine Dialysis

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 05D2091441

Newport Irvine Dialysis · Newport Beach, CA
Active · expires Feb 11, 2027
CLIA Number05D2091441
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorPaul Ozuzun
Laboratory Phone(949) 863-1382
Laboratory LocationNewport Irvine Dialysis4300 Von Karman Ave, Newport Beach, CA 92660
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 Newport Irvine Dialysis (CMS certification number 552789), from CMS Care Compare.

DaVita Newport Irvine Dialysis

Dialysis facility · Newport Beach, CA
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552789
ESRD NetworkNetwork 18
Hemodialysis Stations17
Medicare-Certified SinceAugust 17, 2016
Location4300 Von KarmanNewport Beach, CA 92660 · Orange County
Phone(949) 863-1382
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Walcott Dialysis LLC's NPI number?

The NPI number for Walcott Dialysis LLC is 1679995948. It was assigned to this organization in the NPPES registry on January 6, 2014. The provider is doing business as Newport Irvine Dialysis.

Where is Walcott Dialysis LLC located?

Walcott Dialysis LLC is located at 4300 Von Karman Ave, Newport Beach, CA 92660. The listed phone number is (949) 863-1382.

What is Walcott 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 Walcott Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2091441) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Walcott Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Newport Irvine Dialysis is a Medicare-certified dialysis facility, certified since August 17, 2016.

What quality rating does Walcott Dialysis LLC have?

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

What insurance does Walcott Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and UnitedHealthcare list Walcott 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 Walcott Dialysis LLC was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.