Cheraw Dialysis LLC
Cheraw Dialysis LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Pablo, CA, holding Type 2 (organization) NPI 1124443791 since 2014. The authorized official on file is Samuel Wey, Vp, Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124443791 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cheraw Dialysis LLC |
| Other name | <Unavail> |
| Practice address | 3380 SAN PABLO DAM RD STE C-D, San Pablo, CA, 94803 |
| Phone | 5102629230 |
| Fax | 5102629203 |
| Enumeration date | 2014-02-19 |
| Last updated in NPPES | 2024-10-07 |
Authorized official
| Name | Samuel Wey |
|---|---|
| Title | Vp, Licensure & Certification |
| Phone | 6153416641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112443791 | Medicaid | CA | — |
| 550003151 | Other | CA | LICENSE |
Copy-ready billing details
Provider: Cheraw Dialysis LLC NPI: 1124443791 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 3380 SAN PABLO DAM RD STE C-D, San Pablo, CA, 94803
Verify this record
Cross-check NPI 1124443791 against the authoritative CMS record: view Cheraw Dialysis LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Cheraw Dialysis LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-07.