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SATELLITE DIALYSIS OF SAN FRANCISCO LLC NPI 1104261130


NPI Information

NPI: 1104261130
Provider Name: SATELLITE DIALYSIS OF SAN FRANCISCO LLC

Doing Business As: SATELLITE HEALTHCARE SAN FRANCISCO

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 05D2073946

Address:
1700 CALIFORNIA STREET
SUITE 260
SAN FRANCISCO, CA
ZIP 94109
Phone: (415) 653-5800
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SATELLITE DIALYSIS OF SAN FRANCISCO LLC is an end-stage renal disease (esrd) treatment clinic center in San Francisco, CA. SATELLITE DIALYSIS OF SAN FRANCISCO LLC NPI is 1104261130. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare San Francisco.

The provider's business location address is:

1700 CALIFORNIA STREET
SUITE 260
SAN FRANCISCO, CA
ZIP 94109-588
Phone: (415) 653-5800
Fax: (415) 563-8023

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 CLIA number assigned to this NPI record is 05D2073946 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2013 and was last updated on 1/19/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1550002753OTHERCALIFORNIASTATE 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: 4/28/2024

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