Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coral Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1437569514

Coral Dialysis LLC provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Stockton, California. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1810 S Fresno Ave
Stockton, CA 95206-1861
Phone: (209) 946-0738
Fax: (209) 946-0827
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1437569514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names Port City Dialysis
NPI enumeratedApril 29, 2014
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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