Active NPI
Satellite Santa Teresa, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Jose, CA
National Provider Identifier
1861279622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SATELLITE SANTA TERESA, LLC
- Practice address
- 7019 Realm Dr
San Jose, CA 95119-1321 - Phone
- (408) 229-1110
- Fax
- (408) 229-1144
- NPI assigned
- Sep 13, 2023
- Organization subpart
- Yes
- Parent organization
- U.S. RENAL CARE, INC.
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
- President & 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
7019 Realm Dr
San Jose, CA 95119-1321
Mailing address
5851 Legacy Cir Ste 900
Plano, TX 75024-5982
Phone (214) 736-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231116002636 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 3375990096 | Practice locations: San Jose, CA |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694563200000",
"number": "1861279622",
"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": "7019 REALM DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191321",
"telephone_number": "408-229-1110",
"fax_number": "408-229-1144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATELLITE SANTA TERESA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"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": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.