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INDIO DIALYSIS
NPI 1710439187
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Indio, CA

Active since November 01, 2016CLIA 05D2153691 · Waiver
3/5
Overall Rating
82900 AVENUE 42, STE E, INDIO, CA 92203(760) 342-6842(760) 342-6807 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2024, Dec 8, 2021, Aug 24, 2020 and 1 more (4 updates tracked since 2016).

About Indio Dialysis NPPES

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

INDIO DIALYSIS (NPI 1710439187) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Indio, California and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1710439187
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePETRA DIALYSIS LLC
Location Address82900 AVENUE 42, STE EIndio, CA 92203-9658
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 238-3085 · Fax (800) 268-9682
Phone(760) 342-6842
Fax(760) 342-6807
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateNovember 1, 2016
Last NPPES UpdateMay 10, 20244 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1710439187 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
82900 AVENUE 42, Indio, CA 92203
Open in Google Maps ↗

Other Names 1

Doing Business AsIndio Dialysis

Other Identifiers 1

Medicaid1710439187CA

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 05D2153691

Indio Dialysis · Indio, CA
Active · expires Aug 27, 2026
CLIA Number05D2153691
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorSalam Ishak MD
Laboratory Phone(760) 342-6842
Laboratory LocationIndio Dialysis82900 Avenue 42 Suite E, Indio, CA 92203
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 Indio Dialysis (CMS certification number 552860), from CMS Care Compare.

DaVita Indio Dialysis

Dialysis facility · Indio, CA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552860
ESRD NetworkNetwork 18
Hemodialysis Stations37
Medicare-Certified SinceFebruary 4, 2019
Location82900 Ave 42 Suite EIndio, CA 92203 · Riverside County
Phone(760) 342-6842
Services Offered
In-center hemodialysis

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
69% 5/5
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.
66% 4/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
80% 3/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
65% 4/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
70% 3/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
67% 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 10

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

TWAIN PHAM RPH
Pharmacist
82900 AVENUE 42
INDIO, CA 92203
Riverside County (760) 347-3524
DR. ASTRID EDITH NOGUERA DDS
Dentist (General Practice)
82900 AVENUE 42
INDIO, CA 92203
Riverside County (760) 424-2300
DR. JAMES F SWARZKOPF PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
82900 AVENUE 42
INDIO, CA 92203
Riverside County (760) 347-3524
MS. CELESTIAL GABRIEL ABRIZ
Pharmacist
82900 AVENUE 42
INDIO, CA 92203
Riverside County (760) 347-3254
MY NGUYEN
Pharmacist
82900 AVENUE 42
INDIO, CA 92203
Riverside County (760) 347-3524
MELANNE SOLIS
Pharmacist
82900 AVENUE 42
INDIO, CA 92203
Riverside County (760) 347-3524
JOHN-LUC MAURICE LE COZE
Pharmacist
82900 AVENUE 42
INDIO, CA 92203
Riverside County (760) 347-3524
YAN JUN LI RPH
Pharmacist
82900 AVENUE 42
INDIO, CA 92203
Riverside County (760) 347-3524

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 Petra Dialysis LLC's NPI number?

The NPI number for Petra Dialysis LLC is 1710439187. It was assigned to this organization in the NPPES registry on November 1, 2016. The provider is doing business as Indio Dialysis.

Where is Petra Dialysis LLC located?

Petra Dialysis LLC is located at 82900 Avenue 42 Ste E, Indio, CA 92203. The listed phone number is (760) 342-6842.

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

Yes. A Certificate of Waiver (number 05D2153691) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Petra Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Indio Dialysis is a Medicare-certified dialysis facility, certified since February 4, 2019.

What quality rating does Petra Dialysis LLC have?

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

What insurance does Petra Dialysis LLC accept?

Health plans from UnitedHealthcare list Petra 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 Petra Dialysis LLC was last updated on May 10, 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.