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

Roose Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1790929826

Roose Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stockton, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1523 E March Ln Ste 200
Stockton, CA 95210-5607
Phone: (209) 472-3300
Fax: (209) 472-0900
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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 550000652 (CA)

Record details

NPI number1790929826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Stockton Kidney Center; Stockton Kidney Center
NPI enumeratedApril 20, 2009
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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