Total Renal Care INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Lakewood, CA. Organization (NPI-2).
NPI number1295263283
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1295263283
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Renal Care INC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2017
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Mayfair Dialysis (Doing Business As)
Practice location
4930 Paramount BlvdLakewood, CA 90712-2904
Phone 424-296-6870 · Fax 562-531-0715
Mailing address
5200 Virginia WayAtt: L&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel T. Wey
Vp Licensure & Certification
6153416641
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