END STAGE RENAL DISEASE CENTER – NPI #1558557801
Clinic/Center

END STAGE RENAL DISEASE CENTER is an AHC clinic located in FRENCH CAMP, CA. NPPES has assigned the NPI number 1558557801 to END STAGE RENAL DISEASE CENTER on September 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “END STAGE RENAL DISEASE CENTER” is a dba name, the actual legal business name for this organization is COUNTY OF SAN JOAQUIN. 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 4 years ago on Aug 24, 2022. 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 END STAGE RENAL DISEASE CENTER below.

NPI Profile for
COUNTY OF SAN JOAQUIN

NPI Number
1558557801
Enumeration Date

(more than 18 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
COUNTY OF SAN JOAQUIN
Doing Business As (dba): END STAGE RENAL DISEASE CENTER
Primary location
7783 SOUTH FREEDOM ROAD
FRENCH CAMP, CA 95231
Phone: (209) 468-6937 Fax: (209) 468-7042
Mailing address
PO BOX 1020
STOCKTON, CA 95201-3120
Phone: (209) 468-6937 Fax: (209) 468-7042
Organization Subpart
Yes - END STAGE RENAL DISEASE CENTER is subpart of another organization.
Authorized Official
SHEELA KAPRE
CHIEF MEDICAL OFFICER
Phone: (209) 468-6600
Updated
Certification Date
Aug 24, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)		 CA 030000087

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.