WALTERIA DIALYSIS LLC
NPI 1750952677
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Sacramento, CA

Q: What is Walteria Dialysis LLC's NPI number?

The NPI number for Walteria Dialysis LLC is 1750952677. It was assigned to this organization in the NPPES registry on July 2, 2021. The provider is doing business as South Sacramento Dialysis Center.

Q: What is Walteria 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.

Active since July 02, 2021

8275 BRUCEVILLE RD, SACRAMENTO, CA 95823(916) 427-2561(916) 427-2025 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2024, Nov 23, 2022, Sep 8, 2021 and 1 more (4 updates tracked since 2021).

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About Walteria Dialysis Llc NPPES

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

WALTERIA DIALYSIS LLC (NPI 1750952677), doing business as South Sacramento Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Sacramento, California and active in the NPI registry since July 2021. The organization lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1750952677

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameWALTERIA DIALYSIS LLC

Location Address8275 BRUCEVILLE RDSacramento, CA 95823-2308

Mailing Address5200 Virginia Way, L&c Dept.Brentwood, TN 37027-7569

Phone(916) 427-2561

Fax(916) 427-2025

Organization SubpartNo

Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641

Enumeration DateJuly 2, 2021

Last NPPES UpdateAugust 27, 20254 updates tracked since enumeration

NPPES CertifiedAugust 27, 2025

✔ NPI 1750952677 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

8275 BRUCEVILLE RD, Sacramento, CA 95823

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Other Names 1

Doing Business AsSouth Sacramento Dialysis Center

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walteria Dialysis Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20210810003321Part A · End-Stage Renal Disease Facility (ESRD)Due dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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.

MS. PHUONG KIM TRUONG

Pharmacist

8275 BRUCEVILLE RD
SACRAMENTO, CA 95823

Sacramento County (916) 682-7407

LILY A PHAM PHARMACIST

Pharmacist

8275 BRUCEVILLE RD
SACRAMENTO, CA 95823

Sacramento County (916) 682-7407

MR. ISAAC E ERINMWINGBOVO PHARMACIST

Pharmacist

8275 BRUCEVILLE RD
SACRAMENTO, CA 95823

Sacramento County (916) 682-7407

REENA BHARADWAJ

Pharmacist

8275 BRUCEVILLE RD
SACRAMENTO, CA 95823

Sacramento County (916) 682-7407

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 Walteria Dialysis LLC's NPI number?

The NPI number for Walteria Dialysis LLC is 1750952677. It was assigned to this organization in the NPPES registry on July 2, 2021. The provider is doing business as South Sacramento Dialysis Center.

Where is Walteria Dialysis LLC located?

Walteria Dialysis LLC is located at 8275 Bruceville Rd, Sacramento, CA 95823. The listed phone number is (916) 427-2561.

What is Walteria 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.

Is Walteria Dialysis LLC enrolled in Medicare?

Yes. Walteria Dialysis LLC is registered in the Medicare PECOS enrollment system.

When is Walteria Dialysis LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Walteria Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and UnitedHealthcare list Walteria 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 Walteria Dialysis LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.