NPIMap

Organization Active NPI

Satellite Dialysis of Los Gatos LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Los Gatos, CA
National Provider Identifier
1619218377
Registry record updated Jan 20, 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 LOS GATOS LLC
Practice address
53 Los Gatos Saratoga Rd
Los Gatos, CA 95032-5461
Phone
(408) 458-4460
Fax
(408) 358-6100
NPI assigned
Mar 6, 2013
Organization subpart
Yes
Parent organization
SATELLITE HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 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

53 Los Gatos Saratoga Rd
Los Gatos, CA 95032-5461

Mailing address

300 Santana Row
Suite 300
San Jose, CA 95128-2423
Phone (408) 458-4460

Other identifiers 2

IdentifierTypeStateIssuer
550002647OtherCASTATE
550002647OtherCASTATE OF CALIFORNIA

Other names 1

  • Satellite Healthcare of Los Gatos Doing business as

National Provider Directory

National Provider Directory
Part of
Satellite Laboratory SE

Member of 2

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

Locations

53 Los Gatos Saratoga Rd
Los Gatos, CA 95032
Phone (408) 458-4460

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1619218377",
    "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": "408-458-4460",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 LOS GATOS SARATOGA RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325461",
            "telephone_number": "408-458-4460",
            "fax_number": "408-358-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE DIALYSIS OF LOS GATOS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2013-03-06",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "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": "STATE",
            "identifier": "550002647",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "550002647",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare of Los Gatos",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite Healthcare of Los Gatos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.