Mulgee Dialysis LLC

Mulgee Dialysis LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hawthorne, CA, holding Type 2 (organization) NPI 1710229794 since 2013. The authorized official on file is Samuel Wey, Vp, Licensure & Certification.

✓ Active NPI ✓ Valid NPI checksum

NPI	1710229794
Entity type	Organization (Type 2)
Legal business name	Mulgee Dialysis LLC
Other name	<Unavail>
Practice address	14204 PRAIRIE AVE, Hawthorne, CA, 90250
Phone	3103491174
Fax	3103491903
Enumeration date	2013-03-18
Last updated in NPPES	2026-01-26

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	550002530	CA

Other identifiers

Identifier	Type	State	Issuer
1710229794	Medicaid	CA	—

Copy-ready billing details

Provider: Mulgee Dialysis LLC
NPI: 1710229794
Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center)
Address: 14204 PRAIRIE AVE, Hawthorne, CA, 90250

Verify this record

Cross-check NPI 1710229794 against the authoritative CMS record: view Mulgee 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

Where is Mulgee Dialysis LLC located?

The practice location on file with NPPES is in Hawthorne, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-26. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-26.