Organization Active NPI

Satellite Healthcare Inc

Doing business as Satellite Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rohnert Park, CA
National Provider Identifier
1164767836
Registry record updated Jan 11, 2023
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 INC
Doing business as
Satellite Dialysis
Satellite Healthcare Rohnert Park
Practice address
6265 Commerce Blvd
Suite 156
Rohnert Park, CA 94928-6300
Phone
(707) 303-2040
Fax
(707) 586-1098
NPI assigned
Dec 6, 2012
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Addresses

Primary practice location

6265 Commerce Blvd
Suite 156
Rohnert Park, CA 94928-6300

Mailing address

300 Santana Row
Suite 300
San Jose, CA 95128-2423
Phone (707) 303-2040

Other identifiers 2

IdentifierTypeStateIssuer
1164767836MedicaidCA
550002412OtherCASTATE LICENSE

Other names 2

  • Satellite Dialysis Doing business as
  • Satellite Healthcare Rohnert Park Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1164767836",
    "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": "707-303-2040",
            "fax_number": "650-625-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 COMMERCE BLVD",
            "address_2": "SUITE 156",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949286300",
            "telephone_number": "707-303-2040",
            "fax_number": "707-586-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164767836",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "550002412",
            "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"
        },
        {
            "organization_name": "Satellite Healthcare Rohnert Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rohnert Park, 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.

Verify at the official NPI Registry.