Olive Dialysis LLC
Olive Dialysis LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Gate, CA, holding Type 2 (organization) NPI 1184004137 since 2015. The authorized official on file is Samuel Wey, Vp Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1184004137 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Olive Dialysis LLC |
| Other name | <Unavail> |
| Practice address | 9848 ATLANTIC AVE, South Gate, CA, 90280 |
| Phone | 3235691035 |
| Fax | 3235691790 |
| Enumeration date | 2015-06-04 |
| Last updated in NPPES | 2024-08-14 |
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 |
|---|---|---|---|
| 1184004137 | Medicaid | CA | — |
Copy-ready billing details
Provider: Olive Dialysis LLC NPI: 1184004137 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 9848 ATLANTIC AVE, South Gate, CA, 90280
Verify this record
Cross-check NPI 1184004137 against the authoritative CMS record: view Olive 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 Olive Dialysis LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-08-14.