St. Joseph Satellite Dialysis Centers, LLC

Primary specialty

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

Legal business name

ST. JOSEPH SATELLITE DIALYSIS CENTERS, LLC

Doing business as

St. Joseph Satellite Healthcare

Practice address

1518 W la Veta Ave
Orange, CA 92868-4117

Phone

(714) 285-9675

Fax

(714) 285-9681

NPI assigned

Dec 16, 2016

Last updated

Apr 23, 2024By the provider in NPPES

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

• St. Joseph Satellite Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• St. Joseph Satellite Dialysis Centers, LLC

  dba St. Joseph Satellite Healthcare

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Santa Ana, CA
  • NPI 1174067706

  2668746462

  Same PAC ID

Listed as

SHC OrangeCCN 552609

Overall star rating

5.0 of 5

Ownership

Non-profit

Certified

Dec 29, 2008

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 2

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

• Satellite Healthcare, Inc.

  dba Satellite Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Mateo, CA
  • NPI 1730110578

  Member Of

  NPD member
• St. Joseph Hospital of Orange

  dba Providence St. Joseph Hospital

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1558575746

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Nathaniel Dat Ho, M.D.

  • Nephrology Physician
  • Laguna Hills, CA
  • NPI 1497792147

  Dialysis facility

  Care Compare affiliation Name & address match
• 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": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1790229318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684117",
            "telephone_number": "714-285-9675",
            "fax_number": "714-285-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684117",
            "telephone_number": "714-285-9675",
            "fax_number": "714-285-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH SATELLITE DIALYSIS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "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": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Satellite Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Joseph Satellite Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa St. John Farrell
• St. Joseph Hospital of Orange (Providence St. Joseph Hospital)
• St. Joseph Hospital of Orange (Providence St. Joseph Hospital)
• St. Joseph Hospital of Orange (Puente A La Salud Mobile Clinics)
• St. Joseph Hospital of Orange (La Amistad De Jose Family Health Center)
• St. Jude Neighborhood Health Centers
• St. Jude Neighborhood Health Centers
• St. Jude Neighborhood Health Centers
• St. Jude Neighborhood Health Centers
• St. Jude Radiology Medical Group, Inc.

• 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 Apr 23, 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.