Satellite Dialysis of Tracy LLC

Primary specialty

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

Legal business name

SATELLITE DIALYSIS OF TRACY LLC

Practice address

2156 W Grant Line Rd
Suite 150
Tracy, CA 95377-7338

Phone

(209) 832-4899

Fax

(209) 832-4893

NPI assigned

Jun 9, 2008

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 Tracy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

SHC TracyCCN 552632

Overall star rating

5.0 of 5

Ownership

Non-profit

Certified

Oct 14, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

25

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 Laboratory SE

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

Locations

Affiliated clinicians 3

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

• Randeep Singh Bajwa, MD

  • Nephrology Physician
  • Stockton, CA
  • NPI 1083611594

  Dialysis facility

  Care Compare affiliation Name & address match
• Aibar Herberto Huatuco, M.D.

  • Nephrology Physician
  • Tracy, CA
  • NPI 1245223932

  Dialysis facility

  Care Compare affiliation Name & address match
• Meenal Amish Shah, M.D.

  • Nephrology Physician
  • Tracy, CA
  • NPI 1346443991

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1457510919",
    "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": "209-832-4899",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 W GRANT LINE RD",
            "address_2": "SUITE 150",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777338",
            "telephone_number": "209-832-4899",
            "fax_number": "209-832-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE DIALYSIS OF TRACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2008-06-09",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "550001187",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457510919",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare Tracy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite Healthcare Tracy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Sardi
• Jessica Aurelia Sargent
• Praveena N Sarma, MD
• Netasha Sarmento
• Jory Sarratt
• Satellite Healthcare of North Tracy, LLC
• Leslie Sato, RPHT
• Mario P Sattah, MD
• Aleesia Saucedo
• Savannah J. Kim Dental Corporation, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tracy, CA
• Providers in Tracy, 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 2, 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.