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Villanueva Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Victorville, CA · enumerated 2011 · authorized official Samuel Wey, Vp, Licensure & Certification.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477836039

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Registry record

Entity type Organization (Type 2)
Legal business name Villanueva Dialysis LLC
Other name <Unavail>
Practice address 17207 Jasmine St, Victorville, CA, 92395
Phone (760) 241-8167
Fax (760) 843-5685
Enumeration date Sep 21, 2011
Last updated in NPPES May 8, 2024

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities · License 550001904 (CA) Primary

Authorized official

Name Samuel Wey
Title Vp, Licensure & Certification
Phone (615) 341-6641

Other identifiers

Identifier Type State Issuer
1477836039 Medicaid CA -

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.

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Frequently asked questions

Who is the authorized official for Villanueva Dialysis LLC?
NPPES lists Samuel Wey (Vp, Licensure & Certification) as the authorized official for this organization.
What is the NPI number for Villanueva Dialysis LLC?
The NPI for Villanueva Dialysis LLC is 1477836039, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-08.