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Davita Riverside LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Jacinto, CA · enumerated 2006 · authorized official Samuel Wey, Vp Licensure&Certification.

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

National Provider Identifier

1578524815

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Registry record

Entity type Organization (Type 2)
Legal business name Davita Riverside LLC
Other name <Unavail>
Practice address 1181 N State St, San Jacinto, CA, 92583
Phone (951) 487-6528
Fax (951) 487-8518
Enumeration date Mar 28, 2006
Last updated in NPPES Dec 10, 2024

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities · License 240000810 (CA) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
1578524815 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-12-10. Verify at npiregistry.cms.hhs.gov.
Where is Davita Riverside LLC located?
The practice location on file with NPPES is in San Jacinto, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-10.