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SRS-CHULA VISTA LLC
NPI 1871129379
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Chula Vista, CA

Active since March 16, 2020
963 LANE AVE, CHULA VISTA, CA 91914(855) 474-7365(855) 631-0206 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2021, Nov 23, 2020, Mar 16, 2020 (3 updates tracked since 2020).

About Srs-chula Vista Llc NPPES

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

SRS-CHULA VISTA LLC (NPI 1871129379) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Chula Vista, California and active in the NPI registry since March 2020. The organization lists Jerome Seymour Tannenbaum, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871129379
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSRS-SAN DIEGO LLC
Location Address963 LANE AVEChula Vista, CA 91914-3501
Mailing AddressPo Box 198813Nashville, TN 37219-8813 · (615) 988-1060 · Fax (855) 631-0206
Phone(855) 474-7365
Fax(855) 631-0206
Organization SubpartNo
Authorized OfficialJerome Seymour TannenbaumCeo · (615) 467-0140
Enumeration DateMarch 16, 2020
Last NPPES UpdateMarch 10, 20213 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
✔ NPI 1871129379 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
963 LANE AVE, Chula Vista, CA 91914
Open in Google Maps ↗

Other Names 1

Doing Business AsSrs-chula Vista Llc

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Sanderling Dialysis Of Chula Vista (CMS certification number 752596), from CMS Care Compare.

Sanderling Dialysis Of Chula Vista

Dialysis facility · Chula Vista, CA
OwnershipProfit
CMS Certification Number752596
ESRD NetworkNetwork 18
Hemodialysis Stations16
Medicare-Certified SinceMay 4, 2023
Location963 Lane AvenueChula Vista, CA 91914 · San Diego County
Phone(855) 474-7365
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

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

KATHLEEN KIM BANES-LECLAIR RN
Registered Nurse (Dialysis, Peritoneal)
963 LANE AVE
CHULA VISTA, CA 91914
San Diego County (615) 693-9245

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 Srs-San Diego LLC's NPI number?

The NPI number for Srs-San Diego LLC is 1871129379. It was assigned to this organization in the NPPES registry on March 16, 2020. The provider is doing business as Srs-Chula Vista LLC.

Where is Srs-San Diego LLC located?

Srs-San Diego LLC is located at 963 Lane Ave, Chula Vista, CA 91914. The listed phone number is (855) 474-7365.

What is Srs-San Diego 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 Srs-San Diego LLC a Medicare-certified dialysis facility?

Yes. Sanderling Dialysis Of Chula Vista is a Medicare-certified dialysis facility, certified since May 4, 2023.

When was this NPI record last updated?

The NPPES record for Srs-San Diego LLC was last updated on March 10, 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.