SAN BERNARDINO VALLEY HOME DIALYSIS CENTER, INC. – NPI #1366469363
Clinic/Center

SAN BERNARDINO VALLEY HOME DIALYSIS CENTER, INC. is an AHC clinic located in SAN BERNARDINO, CA. NPPES has assigned the NPI number 1366469363 to SAN BERNARDINO VALLEY HOME DIALYSIS CENTER, INC. on July 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 14 years ago on May 15, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN BERNARDINO VALLEY HOME DIALYSIS CENTER, INC. below.

NPI Profile for
SAN BERNARDINO VALLEY HOME DIALYSIS CENTER, INC.

NPI Number
1366469363
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN BERNARDINO VALLEY HOME DIALYSIS CENTER, INC.
Primary location
1500 N WATERMAN AVE
SUITE B
SAN BERNARDINO, CA 92404-5111
Phone: (909) 381-1595 Fax: (909) 381-3291
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALLAN KAVALICH
CEO - MEDICAL DIRECTOR
Phone: (909) 381-1595
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.