SATELLITE DIALYSIS OF WHITE ROAD LLC NPI 1972838944

NPI Information

NPI: 1972838944
Provider Name: SATELLITE DIALYSIS OF WHITE ROAD LLC

Doing Business As: SATELLITE HEALTHCARE WHITE ROAD

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2002590

Address:
1450 S WHITE RD
SUITE 30
SAN JOSE, CA
ZIP 95127
Phone: (408) 272-9810
Get Directions

SATELLITE DIALYSIS OF WHITE ROAD LLC is an end-stage renal disease (esrd) treatment clinic center in San Jose, CA. SATELLITE DIALYSIS OF WHITE ROAD LLC NPI is 1972838944. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare White Road.

The provider's business location address is:

1450 S WHITE RD
SUITE 30
SAN JOSE, CA
ZIP 95127-798
Phone: (408) 272-9810
Fax: (408) 272-9814

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official, President & Ch and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 05D2002590 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 11/6/2023.

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			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	550001276	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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