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

Moreno Valley Regional Dialysis

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1740474683

Moreno Valley Regional Dialysis is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Moreno Valley, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

22620 Goldencrest Dr Ste 101
Moreno Valley, CA 92553-9032
Phone: (951) 656-3804
Fax: (951) 656-7508
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 240000808 (CA)

Record details

NPI number1740474683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gadsalli Ravikumar — President/Ceo · (714) 226-0818
NPI enumeratedSeptember 4, 2007
Last updated in NPPESNovember 27, 2012
Mailing address3356 W Ball Rd, Anaheim, CA 92804-3702

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