Healthcare Provider Details

I. General information

NPI: 1134404130
Provider Name (Legal Business Name): CALIFORNIA RENAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2011
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LOWER RAGSDALE DR STE 260
MONTEREY CA
93940-7869
US

IV. Provider business mailing address

2 LOWER RAGSDALE DR STE 260
MONTEREY CA
93940-7869
US

V. Phone/Fax

Practice location:
  • Phone: 831-717-1717
  • Fax: 831-887-0202
Mailing address:
  • Phone: 831-717-1717
  • Fax: 831-887-0202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROSHINI P YAPA JR.
Title or Position: CEO
Credential: MD
Phone: 831-717-1717