Satellite Healthcare of Katella Avenue, LLC

Primary specialty

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

Legal business name

SATELLITE HEALTHCARE OF KATELLA AVENUE, LLC

Practice address

1536 E Katella Ave
Orange, CA 92867-5026

Phone

(714) 912-8683

Fax

(712) 538-5433

NPI assigned

Apr 6, 2020

Organization subpart

No

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

Addresses

Other names 1

• Satellite Healthcare Katella Orange Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

SHC KatellaCCN 752530

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jun 18, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

24

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

CLIA laboratory certificates

Member of 1

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

• Satellite Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jamestown, CA
  • NPI 1649241720

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Pham, M.D.

  • Nephrology Physician
  • Orange, CA
  • NPI 1477623635
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jiten Prakash Mehta, D0

  • Nephrology Physician
  • Orange, CA
  • NPI 1861912289

  Dialysis facility

  Care Compare affiliation Name & address match
• Kevin Pham, M.D.

  • Nephrology Physician
  • Orange, CA
  • NPI 1477623635

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1760011274",
    "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": "650-404-3655",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 E KATELLA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675026",
            "telephone_number": "714-912-8683",
            "fax_number": "712-538-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE HEALTHCARE OF KATELLA AVENUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare Katella Orange",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite Healthcare Katella Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Sarton, DPT
• Avani Sarvaiya, DDS
• Aaron F Sassoon, M.D.
• Heidy A Sasvin, MD
• Satellite Dialysis of Orange LLC
• Priyanka Satish
• Erika S Sato
• Mariko Sato, M.D., PH.D.
• Jeffrey Kevin Satterfield, PA-C, RKT, PTA
• Cristian Ruby Saturnino Gonzalez

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Orange, CA
• Providers in Orange, 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 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.