Canyon Dialysis LLC
Canyon Dialysis LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Riverview, FL, holding Type 2 (organization) NPI 1366981268 since 2017. The authorized official on file is Samuel Wey, Vp Licensure&Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366981268 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Canyon Dialysis LLC |
| Other name | <Unavail> |
| Practice address | 3140 S FALKENBURG RD, STE 101, Riverview, FL, 33578 |
| Phone | 8133721625 |
| Fax | 8133721615 |
| Enumeration date | 2017-02-13 |
| Last updated in NPPES | 2026-02-26 |
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 | — | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101483500 | Medicaid | FL | — |
Copy-ready billing details
Provider: Canyon Dialysis LLC NPI: 1366981268 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 3140 S FALKENBURG RD, STE 101, Riverview, FL, 33578
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578793493 | Andrew Obando | Individual | Physician Assistant | Riverview, FL |
| 1962955765 | Omni Pain Care, LLC | Organization | Interventional Pain Medicine Physician | Riverview, FL |
| 1558811315 | Florida Urology Partners LLP | Organization | Non-Pharmacy Dispensing Site | Riverview, FL |
| 1407368129 | Sisa Jose | Individual | Family Nurse Practitioner | Riverview, FL |
| 1861980906 | Arjun Kalaria | Individual | Nephrology Physician | Riverview, FL |
| 1033776166 | Tampa General Medical Group Inc | Organization | Medical Oncology Physician | Riverview, FL |
| 1881240810 | Guidewell Sanitas I, LLC | Organization | Multi-Specialty Clinic/Center | Riverview, FL |
| 1962341578 | Alicia Walczynski | Individual | Acute Care Nurse Practitioner | Riverview, FL |
Verify this record
Cross-check NPI 1366981268 against the authoritative CMS record: view Canyon 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
What is a Type 2 NPI?
What type of organization is Canyon Dialysis LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-26.