Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edisto Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1619397700

Edisto Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Garden Grove, California. Medicare rates this dialysis facility 3 out of 5. Licensed in California.

CMS rating
3 of 5
Licensed in
CA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 552781)

Practice location Address checks out

13054 N Harbor Blvd
Garden Grove, CA 92843-1744
Phone: (714) 539-3395
Fax: (714) 539-3467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence 550002921 (CA)

Record details

NPI number1619397700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Garden Grove Harbor Dialysis; Garden Grove Harbor Dialysis
NPI enumeratedApril 16, 2014
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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