Organization Active NPI

Satellite Dialysis of Orange LLC

Doing business as Satellite Healthcare Orange

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Orange, CA
National Provider Identifier
1386822088
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SATELLITE DIALYSIS OF ORANGE LLC
Doing business as
Satellite Healthcare Orange
Practice address
1518 W la Veta Ave
Orange, CA 92868-4117
Phone
(714) 285-9675
Fax
(714) 285-9681
NPI assigned
Feb 5, 2008
Organization subpart
Yes
Parent organization
SATELLITE HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Bernadette Vincent
Title
President/Coo
Phone
(650) 404-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1518 W la Veta Ave
Orange, CA 92868-4117

Mailing address

300 Santana Row
Suite 300
San Jose, CA 95128-2423
Phone (714) 285-9675

Other identifiers 3

IdentifierTypeStateIssuer
550000808OtherCACDPH
05D1085700OtherCLIA
1386822088MedicaidCA

Other names 1

  • Satellite Healthcare Orange Doing business as

National Provider Directory

National Provider Directory
Part of
Satellite Laboratory SE

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1386822088",
    "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": "714-285-9675",
            "fax_number": "650-625-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684117",
            "telephone_number": "714-285-9675",
            "fax_number": "714-285-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE DIALYSIS OF ORANGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2008-02-05",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "650-404-3600"
    },
    "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": "CDPH",
            "identifier": "550000808",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1085700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386822088",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare Orange",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite Healthcare Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.