Active NPI
Satellite Healthcare Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Jose, CA
National Provider Identifier
1154392009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 140000639
- Legal business name
- SATELLITE HEALTHCARE INC
- Doing business as
- Satellite Dialysis
- Practice address
- 393 Blossom Hill Rd
Ste 110
San Jose, CA 95123-1652 - Phone
- (408) 629-9802
- Fax
- (408) 629-9808
- NPI assigned
- Jan 30, 2006
- Organization subpart
- Yes
- Parent organization
- SATELLITE HEALTHCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernadette Vincent
- Title
- President/Coo
- Phone
- (650) 404-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 140000639 | CA | Primary |
Addresses
Primary practice location
393 Blossom Hill Rd
Ste 110
San Jose, CA 95123-1652
Mailing address
300 Santana Row
Ste 300
San Jose, CA 95128-2018
Phone (650) 404-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDC70044F | Medicaid | CA |
Other names 1
- Satellite Dialysis
National Provider Directory
National Provider Directory- Part of
- Satellite Laboratory SE
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jamestown, CA
- NPI 1649241720
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1154392009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SANTANA ROW",
"address_2": "STE 300",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282018",
"telephone_number": "650-404-3600",
"fax_number": "650-404-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 BLOSSOM HILL RD",
"address_2": "STE 110",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231652",
"telephone_number": "408-629-9802",
"fax_number": "408-629-9808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATELLITE HEALTHCARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
"enumeration_date": "2006-01-30",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "VINCENT",
"authorized_official_first_name": "BERNADETTE",
"authorized_official_title_or_position": "PRESIDENT/COO",
"authorized_official_telephone_number": "650-404-3600"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "CA",
"license": "140000639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CDC70044F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Satellite Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Satellite Dialysis",
"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 Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.