Satellite Dialysis of White Road LLC

Primary specialty

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

Legal business name

SATELLITE DIALYSIS OF WHITE ROAD LLC

Practice address

3251 S White Rd Ste 10
San Jose, CA 95148-4056

Phone

(650) 404-3600

NPI assigned

Feb 9, 2018

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 Evergreen 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).

• Satellite Dialysis of White Road LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Jose, CA
  • NPI 1972838944

  1557402336

  Same PAC ID

Listed as

SHC EvergreenCCN 552859

Overall star rating

4.0 of 5

Ownership

Non-profit

Certified

Apr 29, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

25

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

CLIA laboratory certificates

Tax ID family

Satellite Dialysis of White Road2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Satellite Dialysis of White Road LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Jose, CA
  • NPI 1972838944
  NPD tax ID

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.

• Surendra Babu Gudapati, M.D.

  • Cardiovascular Disease Physician
  • Mountain View, CA
  • NPI 1245262716
  NPD (past)

Affiliated clinicians 2

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

• Maria Carmela Nazareno Rosales, M.D.

  • Nephrology Physician
  • San Jose, CA
  • NPI 1780706762

  Dialysis facility

  Care Compare affiliation Name & address match
• Padma Yarlagadda, M.D.

  • Nephrology Physician
  • San Jose, CA
  • NPI 1942233580

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1992204481",
    "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": "650-404-3600",
            "fax_number": "650-404-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 S WHITE RD STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484056",
            "telephone_number": "650-404-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE DIALYSIS OF WHITE ROAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "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": [
        {
            "organization_name": "Satellite Healthcare Evergreen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micah H Saste, MD
• Raghunand Sastry, MD
• Jennifer Marie Satariano, CRNP
• Satbir K Kahlon, DMD, Inc.
• Satellite Dialysis of White Road LLC
• Satellite East San Jose, LLC
• Satellite Health Care Inc
• Satellite Healthcare Blossom Valley, LLC
• Satellite Healthcare Inc
• Satellite Healthcare Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Jose, CA
• Providers in San Jose, 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 15, 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.