Active NPI
Satellite Healthcare of North Tracy, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tracy, CA
National Provider Identifier
1669069118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SATELLITE HEALTHCARE OF NORTH TRACY, LLC
- Practice address
- 1005 N Pescadero Avenue
Suite 201-207
Tracy, CA 95304-8507 - Phone
- (669) 236-5947
- Fax
- (650) 625-6007
- NPI assigned
- Dec 30, 2020
- 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
- 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
1005 N Pescadero Avenue
Suite 201-207
Tracy, CA 95304-8507
Mailing address
300 Santana Row Ste 300
San Jose, CA 95128-2424
Phone (669) 236-5947
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 |
|---|---|---|---|
| 05D2241873 | Satellite Healthcare North Tracy | Certificate of waiver | Nov 1, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1669069118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SANTANA ROW STE 300",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282424",
"telephone_number": "669-236-5947",
"fax_number": "650-625-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 N PESCADERO AVENUE",
"address_2": "SUITE 201-207",
"city": "TRACY",
"state": "CA",
"postal_code": "953048507",
"telephone_number": "669-236-5947",
"fax_number": "650-625-6007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATELLITE HEALTHCARE OF NORTH TRACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-30",
"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": "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": []
}
Other providers in Tracy, 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 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.