Organization
SATELLITE HEALTHCARE INC
Active
Other names
Satellite Healthcare Ceres
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE VINCENT (PRESIDENT/COO)
(650) 404-3600
Entity
Organization
Contact information
Practice address
1372 MITCHELL ROAD, CERES, CA 95351-4920
(209) 300-8700
(650) 625-6007
Mailing address
300 SANTANA ROW, SUITE 300, SAN JOSE, CA 95128-2424
(209) 300-8700
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550003322
CA STATE LICENSE
CA
01
—
552803
MEDICARE / PTAN NUMBER
CA
Enumeration date
11/20/2014
Last updated
01/11/2023
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