Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Edisto Dialysis LLC

Q: What type of organization is Edisto Dialysis LLC?

Edisto Dialysis LLC is registered in NPPES as a End-Stage Renal Disease (ESRD) Treatment Clinic/Center (its primary provider taxonomy).

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Garden Grove, CA · enumerated 2014 · authorized official Samuel Wey, Vp, Licensure & Certification.

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

National Provider Identifier

1619397700

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Registry record

Entity type Organization (Type 2)

Legal business name Edisto Dialysis LLC

Other name <Unavail>

Practice address 13054 N Harbor Blvd, Garden Grove, CA, 92843

Phone (714) 539-3395

Fax (714) 539-3467

Enumeration date Apr 16, 2014

Last updated in NPPES Jun 7, 2024

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities · License 550002921 (CA) Primary

Authorized official

Name Samuel Wey

Title Vp, Licensure & Certification

Phone (615) 341-6641

Other identifiers

Identifier	Type	State	Issuer
1619397700	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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Edisto Dialysis LLC?

Edisto Dialysis LLC is registered in NPPES as a End-Stage Renal Disease (ESRD) Treatment Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-07.