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MORENO VALLEY REGIONAL DIALYSIS
NPI 1740474683
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Moreno Valley, CA

Active since September 04, 2007
22620 GOLDENCREST DRIVE, SUITE 101, MORENO VALLEY, CA 92553(951) 656-3804(951) 656-7508 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Moreno Valley Regional Dialysis NPPES

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

MORENO VALLEY REGIONAL DIALYSIS (NPI 1740474683) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Moreno Valley, California and active in the NPI registry since September 2007. The organization lists Gadsalli Ramaswamy Ravikumar, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1740474683
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMORENO VALLEY REGIONAL DIALYSIS
Location Address22620 GOLDENCREST DRIVE, SUITE 101Moreno Valley, CA 92553-9032
Mailing Address3356 W Ball RdAnaheim, CA 92804-3702 · (714) 226-0818 · Fax (714) 226-0700
Phone(951) 656-3804
Fax(951) 656-7508
Organization SubpartNo
Authorized OfficialGadsalli Ramaswamy RavikumarPresident/ceo · (714) 226-0818
Enumeration DateSeptember 4, 2007
Last NPPES UpdateNovember 27, 2012
✔ NPI 1740474683 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 · 240000808
22620 GOLDENCREST DRIVE, Moreno Valley, CA 92553
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Other Identifiers 1

Medicare PIN552599CA

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 Moreno Valley Regional Dialysis's NPI number?

The NPI number for Moreno Valley Regional Dialysis is 1740474683. It was assigned to this organization in the NPPES registry on September 4, 2007.

Where is Moreno Valley Regional Dialysis located?

Moreno Valley Regional Dialysis is located at 22620 Goldencrest Drive Suite 101, Moreno Valley, CA 92553. The listed phone number is (951) 656-3804.

What is Moreno Valley Regional Dialysis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Moreno Valley Regional Dialysis was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.