Satellite Stevens Creek, LLC

Primary specialty

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

Legal business name

SATELLITE STEVENS CREEK, LLC

Doing business as

SATELLITE HEALTHCARE STEVENS CREEK

Practice address

4360 Stevens Creek Blvd Ste a
San Jose, CA 95129-1103

Phone

(408) 517-5777

NPI assigned

Sep 14, 2023

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

• SATELLITE HEALTHCARE STEVENS CREEK Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

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

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1194502815",
    "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": "4360 STEVENS CREEK BLVD STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291103",
            "telephone_number": "408-517-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE STEVENS CREEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SATELLITE HEALTHCARE STEVENS CREEK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SATELLITE HEALTHCARE STEVENS CREEK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Satellite Healthcare Inc
• Satellite Healthcare San Jose LLC
• Satellite Healthcare Silver Creek LLC
• Satellite Santa Teresa, LLC
• Satellite South San Jose, LLC
• Saysolina Sath
• Meena Sathappan, MD
• Annapurna R. Sathi, MD
• Sandhya Sathyanarayana, LAC
• Kimberly Ann Sato, PTA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Jose, CA
• Providers in San Jose, 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 May 15, 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.