Active NPI
Satellite Dialysis-Central Modesto LLC
Doing business as Satellite Healthcare Central Modesto
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Modesto, CA
National Provider Identifier
1609847581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 110000527
- Legal business name
- SATELLITE DIALYSIS-CENTRAL MODESTO LLC
- Doing business as
- Satellite Healthcare Central Modesto
- Practice address
- 1315 10TH St
Suite 300
Modesto, CA 95354-0714 - Phone
- (209) 238-4087
- Fax
- (209) 238-4092
- NPI assigned
- Jan 30, 2006
- Last updated
- May 15, 2024
- Organization subpart
- Yes
- Parent organization
- SATELLITE HEALTHCARE INC
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
- Authorized Official, President & CH
- Phone
- (214) 736-2730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 110000527 | CA | Primary |
Addresses
Primary practice location
1315 10TH St
Suite 300
Modesto, CA 95354-0714
Mailing address
5851 Legacy Cir Ste 900
Plano, TX 75024-5982
Phone (214) 736-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110000527 | Other | CA | STATE OF CALIFORNIA |
Other names 1
- Satellite Healthcare Central Modesto
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040805001508 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1052382512 | Practice locations: Modesto, CA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- SHC Central Modesto
- Overall star rating
- Ownership
- Non-profit
- Certified
- Dec 17, 2004
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 25
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 |
|---|---|---|---|
| 05D1029490 | Satellite Healthcare Central Modesto | Certificate of waiver | Aug 16, 2026 |
National Provider Directory
National Provider Directory- Part of
- Satellite Dialysis CTRS Inc
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Satellite Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sacramento, CA
- NPI 1790051761
Member Of
Locations
1315 10th St
Ste 300
Modesto, CA 95354
Phone (209) 238-4087
Practitioners & affiliated clinicians
Affiliated clinicians 6
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": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1609847581",
"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",
"fax_number": "214-975-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 10TH ST",
"address_2": "SUITE 300",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540714",
"telephone_number": "209-238-4087",
"fax_number": "209-238-4092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATELLITE DIALYSIS-CENTRAL MODESTO LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
"enumeration_date": "2006-01-30",
"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": "AUTHORIZED OFFICIAL, PRESIDENT & CH",
"authorized_official_telephone_number": "214-736-2730"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "CA",
"license": "110000527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA",
"identifier": "110000527",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Satellite Healthcare Central Modesto",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Satellite Healthcare Central Modesto",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Modesto, CA
- Simoon Saroeun
- Anirudh Saronwala
- Jasmeet Singh Saroya
- Mujtaba Sarwar, M.D
- Satellite Ceres LLC (Satellite Healthcare Ceres)
- Satellite Healthcare Inc (Satellite Healthcare North Modesto)
- Satellite Healthcare Inc (Satellite Healthcare Modesto Briggsmore)
- Satellite Healthcare Inc (Satellite Healthcare Modesto)
- Satellite Healthcare Modesto, LLC (Satellite Healthcare Modesto)
- Satellite Healthcare North Modesto, LLC (Satellite Healthcare North Modesto)
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.