{"npi":"1902870330","type":"NPI-2","status":"active","name":{"display":"Dva Renal Healthcare INC","other":[],"organization_name":"DVA RENAL HEALTHCARE INC","authorised_official":"Samuel Wey"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":"CA","license":"080000775"}]},"addresses":[{"purpose":"LOCATION","street_1":"6535 UNIVERSITY AVE","city":"SAN DIEGO","state":"CA","postal_code":"921156341","country_code":"US","phone":"6192878796","fax":"6192874862"},{"purpose":"MAILING","street_1":"5200 VIRGINIA WAY","city":"BRENTWOOD","state":"TN","postal_code":"370277569","country_code":"US"}],"license":{"state":"CA","number":"080000775"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1902870330","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20021119000000","type_code":"00-03","type_desc":"PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)","state":"CA","pac_id":"0840107611"}]},"enumeration_date":"2006-02-14","last_updated":"2026-02-24","_meta":{"source":"NPPES","snapshot_date":"2026-02-24","doc_url":"https://findmynpi.com/api"}}