Organization Active NPI

Satellite Dialysis of Laguna Hills LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1649555707
Registry record updated May 2, 2024
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 LAGUNA HILLS LLC
Practice address
25251 Paseo de Alicia
Suite 105
Laguna Hills, CA 92653-4616
Phone
(949) 420-5700
Fax
(949) 380-4394
NPI assigned
Oct 19, 2011
Organization subpart
Yes
Parent organization
SATELLITE HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

25251 Paseo de Alicia
Suite 105
Laguna Hills, CA 92653-4616

Mailing address

300 Santana Row
Suite 300
San Jose, CA 95128-2423
Phone (949) 420-5700

Other identifiers 2

IdentifierTypeStateIssuer
1649555707MedicaidCA
550002012OtherCASTATE OF CALIFORNIA

Other names 1

  • Satellite Healthcare Laguna Hills Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130109000060 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 5395998009 Practice locations: Laguna Hills, CA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
SHC Laguna HillsCCN 552706
Overall star rating
5.0 of 5
Ownership
Non-profit
Certified
Jan 28, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
17

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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2040714Satellite Healthcare Laguna Hills25251 Paseo de Alecia Suite 105, Laguna Hills, CA 92653Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory
Part of
Satellite Laboratory SE

Member of 1

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

Locations

25251 Paseo de Alicia
Ste 105
Laguna Hills, CA 92653
Phone (949) 420-5700

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1649555707",
    "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": "949-420-5700",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25251 PASEO DE ALICIA",
            "address_2": "SUITE 105",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534616",
            "telephone_number": "949-420-5700",
            "fax_number": "949-380-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE DIALYSIS OF LAGUNA HILLS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2011-10-19",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649555707",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "550002012",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare Laguna Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite Healthcare Laguna Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • 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.