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SATELLITE HEALTH CARE INC NPI 1992762074


NPI Information

NPI: 1992762074
Provider Name: SATELLITE HEALTH CARE INC

Doing Business As: SATELLITE DIALYSIS CENTER EAST SAN JOSE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2121 ALEXIAN DR
STE 118A
SAN JOSE, CA
ZIP 95116
Phone: (408) 258-8720
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SATELLITE HEALTH CARE INC is an end-stage renal disease (esrd) treatment clinic center in San Jose, CA. SATELLITE HEALTH CARE INC NPI is 1992762074. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Dialysis Center East San Jose.

The provider's business location address is:

2121 ALEXIAN DR
STE 118A
SAN JOSE, CA
ZIP 95116-906
Phone: (408) 258-8720

The provider's authorized official is Thomas O Usilton .
The authorized official title is Group Vice President and has the following contact phone number (770) 541-7922.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 8/14/2007.


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
1CDC70017FMEDICAIDCALIFORNIA
2KH0774MEDICARE OSCAR/CERTIFICATION

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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