MEDICARE: UBONSIE DIALYSIS, LLC

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

General Provider Information

NPI Number	:	1740886274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UBONSIE DIALYSIS, LLC

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	ATT: L&C DEPT
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	785 ORANGE DR
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95687-3133
Country	:	US
Telephone Number	:	707-359-1960
Fax Number	:	707-359-1986

Authorized Official
Title or Position	:	VP LICENSURE & CERTIFICATION
Name	:	SAMUEL T WEY
Credential	:
Telephone Number	:	615-341-6641

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	05/27/2026

Similar Medicare Providers

1174454227 — WESLEY ATKINSON
Practice Location Address:

1600 CALIFORNIA DR
VACAVILLE, CA
95687

Practice Phone: 707-448-6841
Practice Fax:

1588596225 — IMANI MALIK BELL
Practice Location Address:

161 BUTCHER RD
VACAVILLE, CA
95687-5685

Practice Phone: 707-908-9800
Practice Fax:

1982536660 — LIZETH CERVANTES
Practice Location Address:

5063 MAPLE RD
VACAVILLE, CA
95687-9468

Practice Phone: 916-234-3574
Practice Fax:

1346053048 — MR. MARK RICHARD BROWN FNP-C
Practice Location Address:

421 NUT TREE RD
VACAVILLE, CA
95687-3508

Practice Phone: 707-624-7500
Practice Fax:

1255866968 — NORTH BAY PROSTHETICS AND ORTHOTICS LLC
Practice Location Address:

671 ELMIRA RD , SUITE 120
VACAVILLE, CA
95687-4655

Practice Phone: 707-724-8985
Practice Fax: 707-724-8986

1023947009 — KAREN WESTABY
Practice Location Address:

344 ARCADIA CT
VACAVILLE, CA
95687-3345

Practice Phone: 707-673-6629
Practice Fax:

Directions to “UBONSIE DIALYSIS, LLC ” 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.