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ST. JOSEPH SATELLITE DIALYSIS CENTERS LLC NPI 1790229318


NPI Information

NPI: 1790229318
Provider Name: ST. JOSEPH SATELLITE DIALYSIS CENTERS, LLC

Doing Business As: ST. JOSEPH SATELLITE HEALTHCARE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1518 W LA VETA AVE
ORANGE, CA
ZIP 92868
Phone: (714) 285-9675
Get Directions

ST. JOSEPH SATELLITE DIALYSIS CENTERS, LLC is an end-stage renal disease (esrd) treatment clinic center in Orange, CA. ST. JOSEPH SATELLITE DIALYSIS CENTERS, LLC NPI is 1790229318. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph Satellite Healthcare.

The provider's business location address is:

1518 W LA VETA AVE
ORANGE, CA
ZIP 92868-117
Phone: (714) 285-9675
Fax: (714) 285-9681

The provider's authorized official is Kristi L Liberatore .
The authorized official title is Chief Financial Officer and has the following contact phone number (714) 771-8281.

The enumeration date for this NPI number is 12/16/2016 and was last updated on 8/20/2020.


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) TreatmentCALIFORNIAYes

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
1187376OTHERBUSINESS 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

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