MOUNTAIN VISTA DIALYSIS CENTER
NPI 1902869357
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Bernardino, CA

Active since April 07, 2006CLIA 05D0921089 · Waiver
3/5
Overall Rating
4041 UNIVERSITY PKWY, SAN BERNARDINO, CA 92407(909) 887-0173(909) 887-2892 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Feb 2, 2022, Apr 12, 2021 and 1 more (4 updates tracked since 2019).

About Mountain Vista Dialysis Center NPPES

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

MOUNTAIN VISTA DIALYSIS CENTER (NPI 1902869357) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Bernardino, California and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1902869357
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS CALIFORNIA INC
Location Address4041 UNIVERSITY PKWYSan Bernardino, CA 92407-1823
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(909) 887-2892
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateApril 7, 2006
Last NPPES UpdateAugust 12, 20244 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1902869357 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 · 240000530
4041 UNIVERSITY PKWY, San Bernardino, CA 92407

Other Names 1

Doing Business AsMountain Vista Dialysis Center

Other Identifiers 1

Medicaid1902869357CA

Accepted 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 05D0921089

Mountain Vista Dialysis Center · San Bernardino, CA
Active · expires Oct 17, 2026
CLIA Number05D0921089
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorDr. Patricia Blakely
Laboratory Phone(909) 887-0173
Laboratory LocationMountain Vista Dialysis Center4041 University Pkwy, San Bernardino, CA 92407
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 Mountain Vista Dialysis Center (CMS certification number 052743), from CMS Care Compare.

DaVita Mountain Vista Dialysis Center

Dialysis facility · San Bernardino, CA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number052743
ESRD NetworkNetwork 18
Hemodialysis Stations28
Medicare-Certified SinceJanuary 1, 1994
Location4041 University ParkwaySan Bernardino, CA 92407 · San Bernardino County
Services Offered
In-center hemodialysis Peritoneal dialysis

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
70% 4/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
69% 4/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
84% 4/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
63% 3/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
73% 5/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
68% 3/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

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 Renal Treatment Centers California Inc's NPI number?

The NPI number for Renal Treatment Centers California Inc is 1902869357. It was assigned to this organization in the NPPES registry on April 7, 2006. The provider is doing business as Mountain Vista Dialysis Center.

Where is Renal Treatment Centers California Inc located?

Renal Treatment Centers California Inc is located at 4041 University Pkwy, San Bernardino, CA 92407. The listed phone number is (909) 887-0173.

What is Renal Treatment Centers California Inc'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 Renal Treatment Centers California Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0921089) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers California Inc a Medicare-certified dialysis facility?

Yes. DaVita Mountain Vista Dialysis Center is a Medicare-certified dialysis facility, certified since January 1, 1994.

What quality rating does Renal Treatment Centers California Inc have?

CMS rates DaVita Mountain Vista Dialysis Center 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Treatment Centers California Inc accept?

Health plans from UnitedHealthcare list Renal Treatment Centers California Inc 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 Renal Treatment Centers California Inc was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.