St. Joseph Satellite Dialysis Centers, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ST. JOSEPH SATELLITE DIALYSIS CENTERS, LLC

Practice address

2212 E 4TH St Ste 101
Santa Ana, CA 92705-3871

Phone

(714) 771-8000

NPI assigned

Dec 16, 2016

Organization subpart

No

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

Addresses

Other names 1

• St. Joseph Satellite Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• St. Joseph Satellite Dialysis Centers, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Orange, CA
  • NPI 1790229318

  2668746462

  Same PAC ID

Listed as

SHC Santa AnaCCN 752500

Overall star rating

4.0 of 5

Ownership

Profit

Certified

May 6, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

30

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

CLIA laboratory certificates

Member of 2

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

• Satellite Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jamestown, CA
  • NPI 1649241720

  Member Of

  NPD member
• St. Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1558575746

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Pham, M.D.

  • Nephrology Physician
  • Orange, CA
  • NPI 1477623635
  NPD (past)

Affiliated clinicians 4

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

• Nathaniel Dat Ho, M.D.

  • Nephrology Physician
  • Laguna Hills, CA
  • NPI 1497792147

  Dialysis facility

  Care Compare affiliation Name & address match
• Jiten Prakash Mehta, D0

  • Nephrology Physician
  • Orange, CA
  • NPI 1861912289

  Dialysis facility

  Care Compare affiliation Name & address match
• Kevin Pham, M.D.

  • Nephrology Physician
  • Orange, CA
  • NPI 1477623635

  Dialysis facility

  Care Compare affiliation Name & address match
• Linh L Thong, M.D.

  • Nephrology Physician
  • Orange, CA
  • NPI 1154510386

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1174067706",
    "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": "2212 E 4TH ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053871",
            "telephone_number": "714-771-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH SATELLITE DIALYSIS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "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": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Satellite Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Joseph Satellite Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Michelle Spurgin
• Boontarika Sripom
• Juliet Tubat Srirat, RN , BSN
• Kathryn Sroka
• St. Joseph Hospital of Orange
• St. Jude Neighborhood Health Centers
• St. Jude Neighborhood Health Centers
• Joseph Marie Perez St. Pierre, MD
• Stable Home Health Inc
• Kim Thien Tran Stafford, D.O.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.