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

Shadow Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1780836684

Shadow Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Citrus Heights, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

6406 Tupelo Dr Ste A
Citrus Heights, CA 95621-1780
Phone: (916) 721-1800
Fax: (916) 721-4376
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 110000455 (CA)

Record details

NPI number1780836684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Antelope Dialysis Center; Antelope Dialysis Center
NPI enumeratedOctober 22, 2008
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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