iKidney Dialysis in College Area is a nurse-owned chronic dialysis clinic operating 20 hemodialysis stations at 4660 El Cajon Blvd, Suite 110, San Diego, CA 92115. The facility holds California HCAI License #306370028, NPI #1962259127, and maintains strict water purification standards that exceed minimum CMS requirements for dialysate preparation. Registered nurses lead every treatment shift alongside trained patient care technicians, a staffing model that keeps clinical oversight continuous rather than supervisory — the RN is at the bedside, not in a back office reviewing charts remotely. Primary care coordination for the hypertension, diabetes, and cardiovascular comorbidities that drive most end-stage renal disease cases runs through physicians across the 92115 corridor, including Brownell Kristin MD, who manage the systemic conditions between dialysis sessions. Each station runs brand-new hemodialysis machines with volumetric ultrafiltration control, and heated massage chairs replace the standard clinical recliners found at corporate dialysis chains. Treatment scheduling maintains consistency through holidays and weekends, preventing the missed-session gaps that spike hospitalization rates for ESRD patients who lose access to their regular three-times-weekly cycle. The El Cajon Boulevard location sits within the SDSU-adjacent commercial corridor, accessible by bus routes along the boulevard and by car from the I-8 freeway at College Avenue. Vascular access monitoring — including arteriovenous fistula flow assessments and graft surveillance — runs at every treatment session to catch stenosis or thrombosis before it requires emergent intervention. Renal patients on immunosuppressive protocols require regular dental clearance for infection control, and Talmadge Family Dental in the College Area corridor handles pre-transplant dental evaluations for patients on the kidney waiting list. Fluid removal targets are individualized per patient based on dry weight calculations, with intradialytic blood pressure monitoring at 15-minute intervals to prevent hypotensive episodes during ultrafiltration.