Organization Active NPI

Satellite Dialysis of Sunnyvale LLC

Doing business as Satellite Dialysis of Sunnyvale

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sunnyvale, CA
National Provider Identifier
1922079805
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
License
140000632 Issued in CA
Legal business name
SATELLITE DIALYSIS OF SUNNYVALE LLC
Doing business as
Satellite Dialysis of Sunnyvale
Practice address
155 N Wolfe Rd
Sunnyvale, CA 94086-5212
Phone
(408) 617-1887
Fax
(408) 617-0983
NPI assigned
Jan 30, 2006
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 140000632 CA Primary

Addresses

Primary practice location

155 N Wolfe Rd
Sunnyvale, CA 94086-5212

Mailing address

300 Santana Row
Ste 300
San Jose, CA 95128-2423
Phone (408) 617-1887

Other identifiers 2

IdentifierTypeStateIssuer
CDC02870FMedicaidCA
140000632OtherCASTATE OF CALIFORNIA

Other names 1

  • Satellite Dialysis of Sunnyvale Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1922079805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW",
            "address_2": "STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282423",
            "telephone_number": "408-617-1887",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N WOLFE RD",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940865212",
            "telephone_number": "408-617-1887",
            "fax_number": "408-617-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE DIALYSIS OF SUNNYVALE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2006-01-30",
        "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": "CA",
            "license": "140000632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02870F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "140000632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Dialysis of Sunnyvale",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite Dialysis of Sunnyvale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyvale, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.