MEDICARE: RENAL TREATMENT CENTERS CALIFORNIA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033178546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENAL TREATMENT CENTERS CALIFORNIA INC

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	STE 400 L&C
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:	615-320-4435
Fax Number	:	303-209-7821

Provider Business Practice Location Address
First Line	:	1330 S STATE ST
Second Line	:	STE B
City	:	SAN JACINTO
State	:	CA
Zip	:	92583-4916
Country	:	US
Telephone Number	:	951-654-1066
Fax Number	:	951-654-3596

Authorized Official
Title or Position	:	GROUP VICE PRESIDENT
Name	:	THOMAS O USILTON JR.
Credential	:
Telephone Number	:	770-541-7922

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	07/23/2007

Similar Medicare Providers

1356366546 — DR. LANI KIKU HIROTA WILSON O.D.
Practice Location Address:

5789 MISSION CENTER RD APT 315 , (NOTE: RESIDENTIAL. NO BUSINESS LOCATION YET)
SAN DIEGO, CA
92108-4916

Practice Phone: 916-521-3269
Practice Fax:

1740291731 — DR. DONALD ERIC HOLDRIDGE D.C.
Practice Location Address:

4916 KNICKERBOCKER RD
SAN ANGELO, TX
76904-7517

Practice Phone: 325-949-1112
Practice Fax: 325-949-5551

1295843894 — DR. MYNDIE WILLIS D.C.
Practice Location Address:

4916 KNICKERBOCKER RD
SAN ANGELO, TX
76904-7517

Practice Phone: 325-949-1112
Practice Fax: 325-949-5551

1346322690 — MRS. PAULA LYNN GONZALES OTR
Practice Location Address:

523 CALM SPGS
SAN ANTONIO, TX
78260-4916

Practice Phone: 210-488-8217
Practice Fax: 210-277-0740

1871818252 — SHIELD TEXAS HEALTHCARE INC
Practice Location Address:

9901 BROADWAY ST STE 113
SAN ANTONIO, TX
78217-4916

Practice Phone: 800-495-0999
Practice Fax: 210-375-0009

1457727851 — HATO REY MEDICAL SUPPLIES & EQUIPMENTS LLC
Practice Location Address:

24 CALLE MAYAGUEZ , HATO REY
SAN JUAN, PR
00917-4916

Practice Phone: 787-504-4000
Practice Fax:

Directions to “RENAL TREATMENT CENTERS CALIFORNIA INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.