Shadow Dialysis LLC
Shadow Dialysis LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Citrus Heights, CA, holding Type 2 (organization) NPI 1780836684 since 2008. The authorized official on file is Samuel Wey, Vp, Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780836684 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shadow Dialysis LLC |
| Other name | <Unavail> |
| Practice address | 6406 TUPELO DR, STE A, Citrus Heights, CA, 95621 |
| Phone | 9167211800 |
| Fax | 9167214376 |
| Enumeration date | 2008-10-22 |
| Last updated in NPPES | 2024-07-16 |
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 | 110000455 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780836684 | Medicaid | CA | — |
Copy-ready billing details
Provider: Shadow Dialysis LLC NPI: 1780836684 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 6406 TUPELO DR, STE A, Citrus Heights, CA, 95621
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356300289 | Total Renal Care Inc | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Citrus Heights, CA |
Verify this record
Cross-check NPI 1780836684 against the authoritative CMS record: view Shadow 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 the NPI number for Shadow Dialysis LLC?
Who is the authorized official for Shadow Dialysis LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-16.