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STOCKTON KIDNEY CENTER
NPI 1790929826
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Stockton, CA

Active since April 20, 2009
1523 E MARCH LN, STE 200, STOCKTON, CA 95210(209) 472-3300(209) 472-0900 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 20, 2024, Sep 24, 2020, Oct 8, 2018 (3 updates tracked since 2018).

About Stockton Kidney Center NPPES

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

STOCKTON KIDNEY CENTER (NPI 1790929826) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Stockton, California and active in the NPI registry since April 2009. The organization lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1790929826
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameROOSE DIALYSIS LLC
Location Address1523 E MARCH LN, STE 200Stockton, CA 95210-5607
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(209) 472-3300
Fax(209) 472-0900
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateApril 20, 2009
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1790929826 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 · 550000652
1523 E MARCH LN, Stockton, CA 95210
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Other Names 1

Doing Business AsStockton Kidney Center

Other Identifiers 1

Medicaid1790929826CA

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 ›

Other Providers at the Same Location NPPES 2

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

DR. ALEJANDRO R MARQUEZ D.D.S.
Dentist
1523 E MARCH LN
STOCKTON, CA 95210
San Joaquin County (209) 952-9000
STOCKTON KIDNEY CLINIC, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1523 E MARCH LN
STOCKTON, CA 95210
San Joaquin County (209) 472-3300

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 Roose Dialysis LLC's NPI number?

The NPI number for Roose Dialysis LLC is 1790929826. It was assigned to this organization in the NPPES registry on April 20, 2009. The provider is doing business as Stockton Kidney Center.

Where is Roose Dialysis LLC located?

Roose Dialysis LLC is located at 1523 E March Ln Ste 200, Stockton, CA 95210. The listed phone number is (209) 472-3300.

What is Roose 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.

What insurance does Roose Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and UnitedHealthcare list Roose 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 Roose Dialysis LLC was last updated on November 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.