Mazonia Dialysis LLC
Mazonia Dialysis LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Long Beach, CA, holding Type 2 (organization) NPI 1972907566 since 2014. The authorized official on file is Samuel Wey, Vp, Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972907566 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mazonia Dialysis LLC |
| Other name | <Unavail> |
| Practice address | 2977 REDONDO AVE, Long Beach, CA, 90806 |
| Phone | 5629883418 |
| Fax | 5625955819 |
| Enumeration date | 2014-10-10 |
| Last updated in NPPES | 2026-05-21 |
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 | 550003170 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972907566 | Medicaid | CA | — |
Copy-ready billing details
Provider: Mazonia Dialysis LLC NPI: 1972907566 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 2977 REDONDO AVE, Long Beach, CA, 90806
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184690950 | Darcy Ryan | Individual | Optometrist | Long Beach, CA |
| 1629164454 | Lars Hertzog | Individual | Ophthalmology Physician | Long Beach, CA |
| 1104975374 | Hertzog Optical, LLC | Organization | Ophthalmology Physician | Long Beach, CA |
Verify this record
Cross-check NPI 1972907566 against the authoritative CMS record: view Mazonia 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 Mazonia Dialysis LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-21.