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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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, 2023
- Organization subpart
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164767836 | Medicaid | CA | |
| 550002412 | Other | CA | STATE LICENSE |
Other names 2
- Satellite Dialysis
- Satellite Healthcare Rohnert Park
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Satellite Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Mateo, CA
- NPI 1730110578
Member Of
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
- Sadi Kermani DDS PC Inc (SoulSmile Orthodontics)
- Safeway Inc (Safeway Pharmacy #0918)
- Jamie Jad Sahouria, D.D.S., M.S.
- Osvaldo Sanchez Fernandez
- Secilia Sanchez
- Satellite Healthcare Rohnert Park, LLC
- Roberta Saunders, M.F.T.
- Kristen Saxton-Hurtado, D.C.
- Lydia G. Schindler, MD
- Jenny C Schneider, MSW., ASW
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.