Satellite Dialysis of Lynwood LLC

Primary specialty

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

Legal business name

SATELLITE DIALYSIS OF LYNWOOD LLC

Practice address

8716 Garfield Ave
Ste 100
South Gate, CA 90280-3723

Phone

(562) 674-2600

Fax

(562) 928-9304

NPI assigned

Aug 31, 2010

Last updated

Apr 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margarita Guizar

Title

Compliance & Risk Director

Phone

(650) 404-3771

Specialties & licenses 1

Addresses

Other identifiers 3

Member of 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis Alvarez, MD

  • Nephrology Physician
  • Palo Alto, CA
  • NPI 1487685368
  NPD (past)

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1376859108",
    "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": "562-674-2600",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 GARFIELD AVE",
            "address_2": "STE 100",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902803723",
            "telephone_number": "562-674-2600",
            "fax_number": "562-928-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE DIALYSIS OF LYNWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "GUIZAR",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "COMPLIANCE & RISK DIRECTOR",
        "authorized_official_telephone_number": "650-404-3771"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF WAIVER",
            "identifier": "05D2020393",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376859108",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "550001699",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Andrew Sandoval, MD
• Gerardo Sandoval, OTS
• Susana V Sandoval, M.D.
• Santa Maria Women & Children Medical Clinic, Inc
• Benjamin Phillip Sapir, D.D.S.
• Shaun Pheng Say, PHARMD
• Gail L Scanland
• Scott Jacks DDS Inc (Children's Dental Group)
• Scott Jacks, DDS, Inc (Children's Dental Group)
• Melissa Velez See, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Gate, CA
• Providers in South Gate, 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 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.