SATELLITE HEALTHCARE BLOSSOM VALLEY LLC NPI 1912784786

NPI Information

NPI: 1912784786
Provider Name: SATELLITE HEALTHCARE BLOSSOM VALLEY, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1450 KOOSER RD
SAN JOSE, CA
ZIP 95118
Phone: (408) 440-3260
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SATELLITE HEALTHCARE BLOSSOM VALLEY, LLC is an end-stage renal disease (esrd) treatment clinic center in San Jose, CA. SATELLITE HEALTHCARE BLOSSOM VALLEY, LLC NPI is 1912784786. The provider is registered as an organization entity type.

The provider's business location address is:

1450 KOOSER RD
SAN JOSE, CA
ZIP 95118-428
Phone: (408) 440-3260
Fax: (408) 267-1357

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

The enumeration date for this NPI number is 9/13/2023 and was last updated on 9/13/2023.

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

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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