Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fountain Valley Regional Dialysis Center LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1265633747

Fountain Valley Regional Dialysis Center LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fountain Valley, 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
2007
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 552630)

Practice location Address checks out

17150 Euclid Ave Ste 111
Fountain Valley, CA 92708-4092
Phone: (714) 966-1595
Fax: (714) 966-1555
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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 550001163 (CA)

Record details

NPI number1265633747
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gadsalli Ravikumar — President/Ceo · (714) 226-0818
NPI enumeratedMay 30, 2007
Last updated in NPPESNovember 27, 2012
Mailing address3356 W Ball Rd, Suite 216, Anaheim, CA 92804-3702

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