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GLENDORA FOOTHILLS DIALYSIS
NPI 1902213580
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Glendora, CA

Active since July 16, 2014CLIA 05D2103995 · Waiver
2/5
Overall Rating
750 W ROUTE 66 STE Q, GLENDORA, CA 91740(626) 335-2063(626) 914-1480 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2023, Dec 14, 2020, May 21, 2019 (3 updates tracked since 2019).

About Glendora Foothills Dialysis NPPES

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

GLENDORA FOOTHILLS DIALYSIS (NPI 1902213580) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Glendora, California and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1902213580
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMANITO DIALYSIS LLC
Location Address750 W ROUTE 66 STE QGlendora, CA 91740-4164
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 238-3085 · Fax (800) 264-9682
Phone(626) 335-2063
Fax(626) 914-1480
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateJuly 16, 2014
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1902213580 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 · 550003385
750 W ROUTE 66 STE Q, Glendora, CA 91740
Open in Google Maps ↗

Other Names 1

Doing Business AsGlendora Foothills Dialysis

Other Identifiers 1

Medicaid1902213580CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2103995

Glendora Foothills Dialysis · Glendora, CA
Active · expires Oct 25, 2027
CLIA Number05D2103995
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorNima Naimi
Laboratory Phone(626) 335-2063
Laboratory LocationGlendora Foothills Dialysis750 W Route 66, Ste Q, Glendora, CA 91740
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Glendora Foothills Dialysis (CMS certification number 552785), from CMS Care Compare.

DaVita Glendora Foothills Dialysis

Dialysis facility · Glendora, CA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number552785
ESRD NetworkNetwork 18
Hemodialysis Stations24
Medicare-Certified SinceJune 6, 2016
Location750 West Route 66, Suite QGlendora, CA 91740 · Los Angeles County
Phone(626) 335-2063
Services Offered
In-center hemodialysis

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 Manito Dialysis LLC's NPI number?

The NPI number for Manito Dialysis LLC is 1902213580. It was assigned to this organization in the NPPES registry on July 16, 2014. The provider is doing business as Glendora Foothills Dialysis.

Where is Manito Dialysis LLC located?

Manito Dialysis LLC is located at 750 W Route 66 Ste Q, Glendora, CA 91740. The listed phone number is (626) 335-2063.

What is Manito 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.

Does Manito Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2103995) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Manito Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Glendora Foothills Dialysis is a Medicare-certified dialysis facility, certified since June 6, 2016.

What quality rating does Manito Dialysis LLC have?

CMS rates DaVita Glendora Foothills Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Manito Dialysis LLC accept?

Health plans from UnitedHealthcare list Manito 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 Manito Dialysis LLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.