MEDICARE: DVA HEALTHCARE RENAL CARE 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	930000388	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	:	1932173481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DVA HEALTHCARE RENAL CARE INC

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	L&C DEPT
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:	615-238-3085
Fax Number	:	800-268-9682

Provider Business Practice Location Address
First Line	:	1211 N SAN FERNANDO BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-4234
Country	:	US
Telephone Number	:	818-842-5576
Fax Number	:	818-842-4250

Authorized Official
Title or Position	:	CHIEF ACCOUNTING OFFICER
Name	:	JOHN D WINSTEL
Credential	:
Telephone Number	:	253-733-4501

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	05/26/2023

Similar Medicare Providers

1558702829 — MR. STUART HOWARD SILVERMAN LCSW
Practice Location Address:

1211 N SAN FERNANDO BLVD
BURBANK, CA
91504-4234

Practice Phone: 818-842-5576
Practice Fax:

1598341380 — MARLENE MAGGIE GARCIA
Practice Location Address:

2101 N GLENOAKS BLVD
BURBANK, CA
91504-2828

Practice Phone: 323-470-3914
Practice Fax:

1851907083 — ALWAYS ATTENTIVE HOME HEALTH CARE
Practice Location Address:

3099 N LIMA ST UNIT A
BURBANK, CA
91504-2013

Practice Phone: 818-281-7946
Practice Fax:

1508451204 — SAMUEL ALEXANDER NASSAB MS
Practice Location Address:

2101 N GLENOAKS BLVD
BURBANK, CA
91504-2828

Practice Phone: 213-342-5706
Practice Fax: 818-848-8886

1538146840 — SAMIR AK NAZO M.D.
Practice Location Address:

2307 W EMPIRE AVE
BURBANK, CA
91504-3318

Practice Phone: 818-841-3420
Practice Fax: 818-841-5171

1801851571 — DR. WAYNE W HOEFT O.D.
Practice Location Address:

907 N SAN FERNANDO BLVD
BURBANK, CA
91504-4326

Practice Phone: 818-846-9075
Practice Fax: 818-846-9010

Directions to “DVA HEALTHCARE RENAL CARE 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.