SATELLITE DIALYSIS-CENTRAL MODESTO LLC NPI 1609847581

NPI Information

NPI: 1609847581
Provider Name: SATELLITE DIALYSIS-CENTRAL MODESTO LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: SATELLITE HEALTHCARE CENTRAL MODESTO
CLIA Number: 05D1029490
Address: 1315 10TH ST
SUITE 300
MODESTO, CA
ZIP 95354
Phone: (209) 238-4087

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NPI Details

SATELLITE DIALYSIS-CENTRAL MODESTO LLC is an end-stage renal disease (esrd) treatment clinic center in Modesto, CA. SATELLITE DIALYSIS-CENTRAL MODESTO LLC NPI is 1609847581. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Central Modesto.

The provider's business location address is:

1315 10TH ST
SUITE 300
MODESTO, CA
ZIP 95354-714
Phone: (209) 238-4087
Fax: (209) 238-4092

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) 736-2730.

The CLIA number assigned to this NPI record is 05D1029490 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 5/15/2024.

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	110000527	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	110000527	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: 11/21/2025

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