Davita San Bruno Dialysis is a dialysis facility registered with Medicare, by U.S Centers for Medicare & Medicaid Services (CMS). The provider number) is #552878. The address is 841 San Bruno Avenue West, San Bruno, CA 94066.
| Provider Number | 552878 |
| Network | 17 |
| Facility Name | DAVITA SAN BRUNO DIALYSIS |
| Chain Owned | Yes |
| Chain Organization | DAVITA |
| Address |
841 San Bruno Avenue West San Bruno CA 94066 |
| Telephone | (650) 794-1138 |
| Profit Type | Profit |
| Five Star Date | 01/01/2016-12/31/2019 |
| Certification or Recertification Date | 2019-11-08 |
| Claims Date | 01/01/2019-12/31/2019 |
| Late Shift | 0 |
| Number of Dialysis Stations | 24 |
| Offers In-Center Hemodialysis | 1 |
| Offers Peritoneal Dialysis | 0 |
| Offers Home Hemodialysis Training | 0 |
| Patient Hospitalization Data Collection Period | 01/01/2019-12/31/2019 |
| Patient Hospital Readmission Data Collection Period | 01/01/2019-12/31/2019 |
| Patient Survival Data Collection Period | 01/01/2016-12/31/2019 |
| Patient Hospitalization Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Patient Hospital Readmission Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Patient Survival Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Number of Patients in Hospitalization Summary | 0 |
| Number of Patients in Hospital Readmission Summary | 1 |
| Number of Patients in Survival Summary | 0 |
| Patient Transfusion Data Collection Period | 01/01/2019-12/31/2019 |
| Patient Transfusion Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Number of Patients included in Transfusion Summary | 0 |
| Patient Infection Data Collection Period | 01/01/2019-12/31/2019 |
| Patient Infection Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Fistula Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Number of Patients included in fistula summary | 6 |
| Number of patients in long term catheter summary | 6 |
| Number of patient months in long term catheter summary | 7 |
| Long term catheter Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| CROWNWeb Date | 01/01/2019-12/31/2019 |
| Adult HD Kt/V Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Adult PD Kt/V Data Availability | The dialysis center does not provide peritoneal dialysis during the reporting period. |
| Pediatric HD Kt/V Data Availability | The dialysis center does not provide hemodialysis and/or peritoneal dialysis to pediatric patients during the reporting period. |
| Number of adult HD patients with KT/V data | 5 |
| Number of adult HD patient-months with Kt/V data | 6 |
| Number of adult PD patients with KT/V data | 0 |
| Number of pediatric HD patients with Kt/V data | 0 |
| Number of pediatric PD patients with Kt/V data | 0 |
| Pediatric PD Kt/V Data Availability | The dialysis center does not provide hemodialysis and/or peritoneal dialysis to pediatric patients during the reporting period. |
| CROWNWeb Date | 01/01/2019-12/31/2019 |
| Hypercalcemia Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Number of patients in hypercalcemia summary | 5 |
| Number of patient-months in hypercalcemia summary | 6 |
| Number of patients in Serum phosphorus summary | 6 |
| Number of patient-months in Serum phosphorus summary | 6 |
| Serum phosphorus Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Hgb <10 Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Hgb >12 Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Number of Dialysis Patients with Hgb data | 0 |
| Number of patients in nPCR summary | 0 |
| nPCR Data Availability | The dialysis center does not provide hemodialysis and/or peritoneal dialysis to pediatric patients during the reporting period. |
| SWR Date | 01/01/2016-12/31/2018 |
| Patient transplant waitlist Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Number of patients in this facility for SWR | 0 |
| Patient prevalent transplant waitlist Data Availability | The dialysis center was not open long enough to supply sufficient measure data. |
| Number of patients for PPPW | 5 |
| Facility Name | Address | Telephone | Certification or Recertification Date |
|---|---|---|---|
| Davita Diamond Speedway Dialysis | 1115 N Nova Road, Daytona Beach, FL 32117 | (386) 239-6877 | 2019-12-30 |
| Davita Vienna Dialysis | 8605 Westwood Center Drive, Suite 100, Vienna, VA 22182 | (571) 633-0790 | 2019-12-30 |
| Davita Hawkeye Dialysis | 701 Tama St Ste 150, Marion, IA 52302 | (319) 900-4702 | 2020-06-26 |
| Davita Trafalgar Dialysis | 2500 Trafalgar Blvd, Kissimmee, FL 34758 | (407) 343-5124 | 2020-06-24 |
| Davita Dan River | 145 Holt Garrison Pkwy, Ste 340, Danville, VA 24540 | (434) 425-7049 | 2020-01-31 |
| Sunrays Dialysis · Davita | 8080 August Road, Piedmont, SC 29673 | (404) 562-7437 | 2020-06-30 |
| Knickerbocker Dialysis Inc. · Davita | 860 Grand Boulevard, Deer Park, NY 11729 | (631) 243-7770 | 2020-02-28 |
| Davita Rose City Dialysis | 1382 Locust St, Pasadena, CA 91106 | (626) 395-7657 | 2020-03-06 |
| Davita Elmora | 547 Morris Ave, Elizabeth, NJ 07208 | (908) 436-9201 | 2020-03-04 |
| Davita Mattapan Dialysis, LLC | 5144 Riverdale Rd Ste 103, Memphis, TN 38141 | (901) 752-5425 | 2020-04-14 |
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| Street Address |
841 SAN BRUNO AVENUE WEST |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066 |
| Facility Name | Address | Telephone | Certification or Recertification Date |
|---|---|---|---|
| Davita Capron Dialysis | 1492 Constitution Blvd, Salinas, CA 93905 | (831) 442-1132 | 2020-04-24 |
| Groten Dialysis LLC · Davita | 1840 East Main Street, Woodland, CA 95776 | (530) 662-1364 | 2020-04-03 |
| Davita Beach Dialysis | 12456 Beach Blvd, Stanton, CA 90680 | (714) 373-9447 | 2019-11-18 |
| Davita Rose Point Dialysis | 400 Palm Ave, Wasco, CA 93280 | (661) 758-2360 | 2019-05-02 |
| Davita Indio Dialysis | 82900 Ave 42 Suite E, Indio, CA 92203 | (760) 342-6842 | 2019-02-04 |
| Satellite Healthcare Inc | 210 Blue Ravine Rd Suite 100, Folsom, CA 95630 | (916) 365-8100 | 2019-04-24 |
| Fmc-Panorama City Dialysis · Fresenius Medical Care | 14001 Osborne St, Arleta, CA 91331 | (559) 240-0037 | 2020-05-11 |
| Northridge Kidney Center, LLC · Independent | 17710 Roscoe Blvd, Northridge, CA 91325 | (818) 739-4888 | 2019-11-18 |
| Fmc-Huntington Beach · Fresenius Medical Care | 17762 Beach Blvd, Ste 120, Huntington Beach, CA 92647 | (714) 848-0021 | 2019-03-18 |
| Davita Glendale Heights | 6850 Dan Fernando Rd, Glendale, CA 91201 | (818) 563-6164 | 2019-07-03 |
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| Facility Name | Address | Telephone | Certification or Recertification Date |
|---|---|---|---|
| Davita Park Manor Dialysis · Independent | 9505 S. Colfax Avenue, Chicago, IL 60617 | (773) 978-5237 | 2018-02-07 |
| Davita Andalusia Dialysis · Rtc-Southeast, Lp | 757 South Three Notch Street, Andalusia, AL 36420 | (334) 222-1628 | 2012-06-21 |
| Davita Sun Health Dialysis · Independent | 2121 Oneida St Suite 104, Joliet, IL 60435 | (815) 725-7886 | 1996-10-25 |
| Davita Oak Meadows Dialysis · Independent | 5020 W. 95th Street, Oak Lawn, IL 60453 | (615) 238-3136 | 2019-11-20 |
| Davita Sandia Peak Dialysis · Independent | 10410 Copper Pointe Way Ne, Albuquerque, NM 87123 | (505) 299-0657 | 2018-04-23 |
| Davita Buffalo Downtown Dialysis | 520 Ellicott St, Suite 100, Buffalo, NY 14203 | (716) 845-5101 | 2017-08-15 |
| Davita Gulf Islands Ht At Home · Independent | 3200 Mallett Road, Suite F, Diberville, MS 39540 | (228) 354-9578 | 2016-06-20 |
| Davita Geneva Crossings · Independent | 546 S Schmale Road, Carol Stream, IL 60188 | (630) 260-4086 | 2019-07-03 |
| Davita Knickerbocker Dialysis Inc. · Independent | 11 Romaine Avenue, Yonkers, NY 10705 | (914) 377-1989 | 2020-02-25 |
| Davita Plainsboro Dialysis · Independent | 100 Plainsboro Road, Suite 1a, Plainsboro, NJ 08536 | (609) 275-5550 | 2017-04-21 |
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This dataset includes 7 thousand dialysis facilities registered with Medicare, provided by U.S Centers for Medicare & Medicaid Services (CMS). The information on dialysis facilities include provider number, facility name, address, phone number, services, and quality of care provided.