Manito Dialysis LLC
Manito Dialysis LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Glendora, CA, holding Type 2 (organization) NPI 1902213580 since 2014. The authorized official on file is Samuel Wey, Vp, Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902213580 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Manito Dialysis LLC |
| Other name | <Unavail> |
| Practice address | 750 W ROUTE 66 STE Q, Glendora, CA, 91740 |
| Phone | 6263352063 |
| Fax | 6269141480 |
| Enumeration date | 2014-07-16 |
| Last updated in NPPES | 2023-12-07 |
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 | 550003385 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902213580 | Medicaid | CA | — |
Copy-ready billing details
Provider: Manito Dialysis LLC NPI: 1902213580 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 750 W ROUTE 66 STE Q, Glendora, CA, 91740
Verify this record
Cross-check NPI 1902213580 against the authoritative CMS record: view Manito 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 a Type 2 NPI?
What type of organization is Manito Dialysis LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-12-07.