SATELLITE HEALTHCARE INC NPI 1003213026

NPI Information

NPI: 1003213026
Provider Name: SATELLITE HEALTHCARE INC

Doing Business As: SATELLITE HEALTHCARE CERES

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2091590

Address:
1372 MITCHELL ROAD
CERES, CA
ZIP 95351
Phone: (209) 300-8700
Get Directions

SATELLITE HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Ceres, CA. SATELLITE HEALTHCARE INC NPI is 1003213026. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Ceres.

The provider's business location address is:

1372 MITCHELL ROAD
CERES, CA
ZIP 95351-920
Phone: (209) 300-8700
Fax: (650) 625-6007

The provider's authorized official is Susan L Del Bene .
The authorized official title is Secretary/cfo and has the following contact phone number (650) 404-3618.

The CLIA number assigned to this NPI record is 05D2091590 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2014 and was last updated on 10/17/2017.

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		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	552803	OTHER	CALIFORNIA	MEDICARE / PTAN NUMBER
2	550003322	OTHER	CALIFORNIA	CA STATE LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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