Active NPI
Satellite Santa Rosa, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Santa Rosa, CA
National Provider Identifier
1053198812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SATELLITE SANTA ROSA, LLC
- Practice address
- 2301 Circadian Way Ste C
Santa Rosa, CA 95407-5457 - Phone
- (707) 526-0717
- Fax
- (707) 526-0722
- NPI assigned
- Sep 13, 2023
- Last updated
- Sep 13, 2023
- Organization subpart
- Yes
- Parent organization
- U.S. RENAL CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L. Weinberg
- Title
- President & Chairman
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
2301 Circadian Way Ste C
Santa Rosa, CA 95407-5457
Mailing address
5851 Legacy Cir Ste 900
Plano, TX 75024-5982
Phone (214) 736-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231106002308 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 6305293853 | Practice locations: Santa Rosa, CA |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1053198812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5851 LEGACY CIR STE 900",
"city": "PLANO",
"state": "TX",
"postal_code": "750245982",
"telephone_number": "214-736-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 CIRCADIAN WAY STE C",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954075457",
"telephone_number": "707-526-0717",
"fax_number": "707-526-0722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATELLITE SANTA ROSA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT & CHAIRMAN",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.