South Fork Dialysis LLC
NPI 1659647808 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fresno, CA
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Fork Dialysis LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Fresno, CA (NPI 1659647808).
Provider details
- NPI number
- 1659647808
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Winstel, Chief Accounting Officer(253) 733-4501
- License
- 550002083 (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
14 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
- Herndon Dialysis
- Doing business as
- Herndon Dialysis
Registry dates
- Enumerated
- 2012-03-31
- Last updated
- 2022-02-17
- Certified
- 2022-02-17
Frequently asked questions
- What is South Fork Dialysis LLC's NPI number?
- South Fork Dialysis LLC's National Provider Identifier (NPI) is 1659647808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Fork Dialysis LLC?
- South Fork Dialysis LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Fork Dialysis LLC located?
- South Fork Dialysis LLC's practice location on file with NPPES is 560 E Herndon Ave, Fresno, CA 93720-2907.
- What is South Fork Dialysis LLC's phone number?
- The practice phone number listed in the NPPES registry for South Fork Dialysis LLC is (559) 432-5278.
- Does South Fork Dialysis LLC accept Medicare?
- South Fork 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 South Fork Dialysis LLC?
- The authorized official listed on South Fork Dialysis LLC's NPPES record is John Winstel, Chief Accounting Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Fork Dialysis LLC's NPI active?
- Yes — South Fork Dialysis LLC's NPI (1659647808) is active in the NPPES registry as of the last update on 2022-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.