Satellite Dialysis of West San Leandro LLC

Primary specialty

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

Legal business name

SATELLITE DIALYSIS OF WEST SAN LEANDRO LLC

Doing business as

Satellite Healthcare West San Leandro

Practice address

2401 Merced St
Suite 110
San Leandro, CA 94577-4228

Phone

(510) 746-3900

Fax

(510) 614-8460

NPI assigned

Jun 21, 2012

Last updated

May 15, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SATELLITE HEALTHCARE INCAs reported in NPPES

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 identifiers 2

Other names 1

• Satellite Healthcare West San Leandro Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

SHC West San LeandroCCN 552720

Overall star rating

4.0 of 5

Ownership

Non-profit

Certified

Jun 19, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

27

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

CLIA laboratory certificates

Part of

Satellite Dialysis CTRS Inc

Member of 2

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

• Satellite Healthcare, Inc.

  dba Satellite Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Mateo, CA
  • NPI 1730110578

  Member Of

  NPD member
• Wellbound of San Jose, LLC

  dba WellBound of San Mateo

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Mateo, CA
  • NPI 1023161734

  Member Of

  NPD member

Affiliated clinicians 3

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

• Jin Huang, MD

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1467081943

  Dialysis facility

  Care Compare affiliation Name & address match
• Bhupinder Singh Virk, M.D.

  • Nephrology Physician
  • San Leandro, CA
  • NPI 1740490507

  Dialysis facility

  Care Compare affiliation Name & address match
• Atif Kidwai Jensen, MD

  • Nephrology Physician
  • Lutherville, MD
  • NPI 1346465838

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1205199460",
    "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": "510-746-3900",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MERCED ST",
            "address_2": "SUITE 110",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774228",
            "telephone_number": "510-746-3900",
            "fax_number": "510-614-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE DIALYSIS OF WEST SAN LEANDRO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2012-06-21",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CLIA CERTIFICATE OF WAIVER",
            "identifier": "05D2051140",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205199460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare West San Leandro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite Healthcare West San Leandro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ammar Sartawi
• Estie Sarvasy, ACSW
• Courtneye Sashington
• Shannon Marie Sasser
• Satellite Dialysis of San Leandro LLC (Satellite Dialysis of San Leandro)
• Sadia Sattar
• Puja Satwani, LCSW
• Jamie Saunders
• Lorraine Vivian Savage
• Madeline Saveliff

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