RAI CARE CENTERS OF NORTHERN CALIFORNIA I LLC NPI 1184906745

NPI Information

NPI: 1184906745
Provider Name: RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC

Doing Business As: RAI - MACK ROAD - SACRAMENTO

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2039176

Address:
4660 MACK RD STE 168
SACRAMENTO, CA
ZIP 95823
Phone: (916) 394-9312
Get Directions

RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC is an end-stage renal disease (esrd) treatment clinic center in Sacramento, CA. RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC NPI is 1184906745. The provider is registered as an organization entity type.
The provider Is Doing Business As Rai - Mack Road - Sacramento.

The provider's business location address is:

4660 MACK RD STE 168
SACRAMENTO, CA
ZIP 95823-202
Phone: (916) 394-9312
Fax: (916) 394-9318

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 05D2039176 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2011 and was last updated on 10/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1184906745	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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