Satellite San Mateo, LLC

Primary specialty

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

Legal business name

SATELLITE SAN MATEO, LLC

Practice address

2000 S El Camino Real FL 1
San Mateo, CA 94403-1805

Phone

(650) 377-0888

Fax

(650) 358-3903

NPI assigned

Sep 13, 2023

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As 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

President & Chairman

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

US Renal Care Inc

Locations

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1619754470",
    "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": "2000 S EL CAMINO REAL FL 1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031805",
            "telephone_number": "650-377-0888",
            "fax_number": "650-358-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE SAN MATEO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT & 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": [],
    "endpoints": [],
    "other_names": []
}

• Amy E Sargent
• Bernard Mario Sarkis, DMD
• Breanna Junniette Sarria
• Beverly L Sarver, MD
• Satellite Healthcare, Inc. (Satellite Dialysis)
• Brianna Sauceda Sauceda
• Tylonnie Saucer, AMFT, APCC
• Jane Saunders
• Elizabeth Savarese
• Brenda Ann E Savelli

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Mateo, CA
• Providers in San Mateo, 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 Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.