Prairie Dialysis LLC
NPI 1407233240 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tustin, CA
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prairie Dialysis LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Tustin, CA (NPI 1407233240).
Provider details
- NPI number
- 1407233240
- 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
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
11 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
Registry dates
- Enumerated
- 2015-04-30
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Frequently asked questions
- What is Prairie Dialysis LLC's NPI number?
- Prairie Dialysis LLC's National Provider Identifier (NPI) is 1407233240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Dialysis LLC?
- Prairie Dialysis LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prairie Dialysis LLC located?
- Prairie Dialysis LLC's practice location on file with NPPES is 721 W 1st St, Tustin, CA 92780-2903.
- What is Prairie Dialysis LLC's phone number?
- The practice phone number listed in the NPPES registry for Prairie Dialysis LLC is (714) 544-0079.
- Does Prairie Dialysis LLC accept Medicare?
- Prairie Dialysis 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 Prairie Dialysis LLC?
- The authorized official listed on Prairie Dialysis 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 Prairie Dialysis LLC's NPI active?
- Yes — Prairie Dialysis LLC's NPI (1407233240) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.