Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

DVA Renal Healthcare Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1295700201

DVA Renal Healthcare Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1445 30th St Ste A - B
San Diego, CA 92154-3496
Phone: (619) 575-3901
Fax: (619) 575-5538
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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 · Licence 080000711 (CA)

Record details

NPI number1295700201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names San Ysidro Dialysis; San Ysidro Dialysis
NPI enumeratedFebruary 22, 2006
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
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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