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

Prairie Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1407233240

Prairie Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tustin, California. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2015.

CMS rating
3 of 5
In the registry since
2015
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 552807)

Practice location Address checks out

721 W 1st St
Tustin, CA 92780-2903
Phone: (714) 544-0079
Fax: (714) 544-0071
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

Record details

NPI number1407233240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
NPI enumeratedApril 30, 2015
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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