SATELLITE HEALTHCARE SILVER CREEK LLC NPI 1073888699

NPI Information

NPI: 1073888699
Provider Name: SATELLITE HEALTHCARE SILVER CREEK LLC

Doing Business As: SATELLITE HEALTHCARE SILVER CREEK

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1620 E CAPITOL EXPY
SAN JOSE, CA
ZIP 95121
Phone: (408) 754-3400
Get Directions

SATELLITE HEALTHCARE SILVER CREEK LLC is an end-stage renal disease (esrd) treatment clinic center in San Jose, CA. SATELLITE HEALTHCARE SILVER CREEK LLC NPI is 1073888699. The provider is registered as an organization entity type.
The provider Is Doing Business As Satellite Healthcare Silver Creek.

The provider's business location address is:

1620 E CAPITOL EXPY
SAN JOSE, CA
ZIP 95121-860
Phone: (408) 754-3400
Fax: (408) 274-2810

The provider's authorized official is Susan L Del Bene .
The authorized official title is Secretary/cfo and has the following contact phone number (650) 404-3618.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 12/29/2016.

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

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1073888699	MEDICAID	CALIFORNIA
2	CLR00343525	OTHER	CALIFORNIA	CLIA-STATE
3	05D2050728	OTHER	CALIFORNIA	CLIA-CMS
4	552714	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
5	550002245	OTHER	CALIFORNIA	STATE OF CALIFORNIA

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

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