Organization
SATELLITE HEALTHCARE INC
Active
Other names
Satellite Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE VINCENT (PRESIDENT/COO)
(650) 404-3600
Entity
Organization
Contact information
Practice address
7019 REALM DR, SAN JOSE, CA 95119-1321
(408) 229-1110
(408) 229-1144
Mailing address
300 SANTANA ROW, STE 300, SAN JOSE, CA 95128-2423
(408) 229-1110
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1102115
CLIA
CA
05
—
1578724761
—
CA
01
—
550001181
CDPH
CA
Enumeration date
06/19/2008
Last updated
01/13/2023
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