RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC – NPI #1558434282
Clinic/Center

RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC is an AHC clinic located in SAN BERNARDINO, CA. NPPES has assigned the NPI number 1558434282 to RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC is also known by the name RAI-NORTH WATERMAN-SAN BERNADINO. 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 Jul 27, 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 RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC below.

NPI Profile for
RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC

NPI Number
1558434282
Enumeration Date

(more than 19 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
RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC
Other Name: RAI-NORTH WATERMAN-SAN BERNADINO
Primary location
1500 N WATERMAN AVE
SAN BERNARDINO, CA 92404-5111
Phone: (909) 381-1591 Fax: (909) 384-1744
Mailing address
Same as primary location
Organization Subpart
Yes - RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC is subpart of another organization.
Authorized Official
MARK FAWCETT
TREASURER
Phone: (781) 699-9000
Updated
Identifiers

Identifiers for RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS OF CALIFORNIACA052575
OTHERBLUE SHIELD OF CALIFORNIACAZZZR0213Z
MEDICAIDCACDC70020J
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.