Active NPI
Satellite Healthcare of West Yosemite Avenue LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Manteca, CA
National Provider Identifier
1518748003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SATELLITE HEALTHCARE OF WEST YOSEMITE AVENUE LLC
- Practice address
- 2077 W Yosemite Ave
Manteca, CA 95337-9604 - Phone
- (650) 404-3600
- NPI assigned
- Oct 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L Weinberg
- Title
- Chairman/President
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2077 W Yosemite Ave
Manteca, CA 95337-9604
Mailing address
5851 Legacy Cir Ste 900
Plano, TX 75024-5982
Phone (214) 736-2700
Other names 1
- Satellite Healthcare Manteca
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250318001706 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9032631189 | Practice locations: Manteca, CA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Satellite Healthcare Manteca
- Ownership
- Profit
- Certified
- Mar 28, 2025
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 19
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2303828 | Satellite Healthcare Manteca | Certificate of waiver | Apr 30, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1518748003",
"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": "2077 W YOSEMITE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953379604",
"telephone_number": "650-404-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATELLITE HEALTHCARE OF WEST YOSEMITE AVENUE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-10",
"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/PRESIDENT",
"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 Manteca",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Satellite Healthcare Manteca",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manteca, CA
Sources for this page
- 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.