SATELLITE HEALTHCARE INC NPI 1386615235

NPI Information

NPI: 1386615235
Provider Name: SATELLITE HEALTHCARE INC

Doing Business As: SATELLITE HEALTHCARE STEVENS CREEK

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
4360 STEVENS CREEK BOULEVARD
SUITE A
CUPERTINO, CA
ZIP 95014
Phone: (408) 517-5777
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SATELLITE HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Cupertino, CA. SATELLITE HEALTHCARE INC NPI is 1386615235. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Stevens Creek.

The provider's business location address is:

4360 STEVENS CREEK BOULEVARD
SUITE A
CUPERTINO, CA
ZIP 95014-708
Phone: (408) 517-5777
Fax: (408) 517-5785

The provider's authorized official is Bernadette Vincent .
The authorized official title is President/coo and has the following contact phone number (650) 404-3600.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 1/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	140000633	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZR02514F	MEDICAID	CALIFORNIA
2	140000633	OTHER	CALIFORNIA	STATE OF CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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