Organization
SATELLITE HEALTHCARE INC
Active
Other names
Satellite Healthcare Modesto
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE VINCENT (PRESIDENT/COO)
(650) 404-3600
Entity
Organization
Contact information
Practice address
3500 COFFEE RD, STE 21, MODESTO, CA 95355-1315
(209) 578-0691
(209) 578-4479
Mailing address
300 SANTANA ROW, STE 300, SAN JOSE, CA 95128-2423
(209) 578-0691
(650) 625-6008
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110000447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110000447
STATE OF CALIFORNIA
CA
05
—
ZZR02551F
—
CA
Enumeration date
01/30/2006
Last updated
01/13/2023
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