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OAKLAND BROADWAY DIALYSIS
NPI 1831615855
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Oakland, CA

Active since August 22, 2017
4242 BROADWAY, OAKLAND, CA 94611(510) 654-4645(510) 547-1548 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2021, Mar 3, 2020, Aug 22, 2017 (3 updates tracked since 2017).

About Oakland Broadway Dialysis NPPES

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

OAKLAND BROADWAY DIALYSIS (NPI 1831615855) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Oakland, California and active in the NPI registry since August 2017. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1831615855
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKERSHAW DIALYSIS LLC
Location Address4242 BROADWAYOakland, CA 94611-5130
Mailing Address5200 Virginia WayBrentwood, TN 37027-7569 · (615) 341-6793 · Fax (877) 790-2174
Phone(510) 654-4645
Fax(510) 547-1548
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateAugust 22, 2017
Last NPPES UpdateJune 11, 20213 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1831615855 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
4242 BROADWAY, Oakland, CA 94611
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Other Names 1

Doing Business AsOakland Broadway 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 Kershaw Dialysis LLC's NPI number?

The NPI number for Kershaw Dialysis LLC is 1831615855. It was assigned to this organization in the NPPES registry on August 22, 2017. The provider is doing business as Oakland Broadway Dialysis.

Where is Kershaw Dialysis LLC located?

Kershaw Dialysis LLC is located at 4242 Broadway, Oakland, CA 94611. The listed phone number is (510) 654-4645.

What is Kershaw 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.

When was this NPI record last updated?

The NPPES record for Kershaw Dialysis LLC was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.