NPIMap

Organization Active NPI

Satellite Medical LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Folsom, CA
National Provider Identifier
1184191256
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
SATELLITE MEDICAL LLC
Practice address
9580 Oak Avenue Pkwy Ste 7-162
Folsom, CA 95630-1888
Phone
(619) 393-5299
NPI assigned
Oct 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Terry Sisco
Title
Ceo
Phone
(714) 322-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

9580 Oak Avenue Pkwy Ste 7-162
Folsom, CA 95630-1888

Mailing address

PO Box 103937
Pasadena, CA 91189-3937
Phone (619) 393-5299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190822003971 CA Part B Supplier - Clinic/Group Practice 6406184811 Receives reassigned benefits from 3 practitioners
Practice locations: Pleasant Hill, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1184191256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103937",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911893937",
            "telephone_number": "619-393-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 OAK AVENUE PKWY STE 7-162",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956301888",
            "telephone_number": "619-393-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-322-1344"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.