Organization Active NPI

Satellite Healthcare Silver Creek LLC

Doing business as Satellite Healthcare Silver Creek

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Jose, CA
National Provider Identifier
1073888699
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SATELLITE HEALTHCARE SILVER CREEK LLC
Doing business as
Satellite Healthcare Silver Creek
Practice address
1620 E Capitol Expy
San Jose, CA 95121-1860
Phone
(408) 754-3400
Fax
(408) 274-2810
NPI assigned
Mar 15, 2012
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SATELLITE HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas L Weinberg
Title
Chairman
Phone
(214) 736-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

1620 E Capitol Expy
San Jose, CA 95121-1860

Mailing address

300 Santana Row
Suite 300
San Jose, CA 95128-2423
Phone (408) 754-3400

Other identifiers 4

IdentifierTypeStateIssuer
1073888699MedicaidCA
CLR00343525OtherCACLIA-STATE
550002245OtherCASTATE OF CALIFORNIA
05D2050728OtherCACLIA-CMS

Other names 1

  • Satellite Healthcare Silver Creek Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150414001372 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 8426376963 Practice locations: San Jose, CA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
SHC Silver CreekCCN 552714
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Apr 17, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
31

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2050728Satellite Healthcare Silver Creek1620 E. Capitol Expressway, San Jose, CA 95121Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory
Part of
Satellite Dialysis CTRS Inc

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1073888699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW",
            "address_2": "SUITE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282423",
            "telephone_number": "408-754-3400",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E CAPITOL EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211860",
            "telephone_number": "408-754-3400",
            "fax_number": "408-274-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE HEALTHCARE SILVER CREEK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2012-03-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073888699",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA-STATE",
            "identifier": "CLR00343525",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "550002245",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA-CMS",
            "identifier": "05D2050728",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare Silver Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.