Davita Riverside LLC
NPI 1205895869 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lake Elsinore, CA
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Davita Riverside LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Lake Elsinore, CA (NPI 1205895869).
Provider details
- NPI number
- 1205895869
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp, Licensure & Certification(615) 341-6641
- License
- 240000841 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Elsinore Dialysis
- Doing business as
- Lake Elsinore Dialysis
Registry dates
- Enumerated
- 2006-03-22
- Last updated
- 2024-12-24
- Certified
- 2024-12-24
Frequently asked questions
- What is Davita Riverside LLC's NPI number?
- Davita Riverside LLC's National Provider Identifier (NPI) is 1205895869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Davita Riverside LLC?
- Davita Riverside LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Davita Riverside LLC located?
- Davita Riverside LLC's practice location on file with NPPES is 32291 Mission Trl, Lake Elsinore, CA 92530-2310.
- What is Davita Riverside LLC's phone number?
- The practice phone number listed in the NPPES registry for Davita Riverside LLC is (951) 674-5050.
- Does Davita Riverside LLC accept Medicare?
- Davita Riverside LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Davita Riverside LLC?
- The authorized official listed on Davita Riverside LLC's NPPES record is Samuel Wey, Vp, Licensure & Certification. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Davita Riverside LLC's NPI active?
- Yes — Davita Riverside LLC's NPI (1205895869) is active in the NPPES registry as of the last update on 2024-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.