SATELLITE SOUTH SAN JOSE LLC NPI 1497532261

NPI Information

NPI: 1497532261
Provider Name: SATELLITE SOUTH SAN JOSE, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
393 BLOSSOM HILL RD STE 110
SAN JOSE, CA
ZIP 95123
Phone: (408) 629-9802
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SATELLITE SOUTH SAN JOSE, LLC is an end-stage renal disease (esrd) treatment clinic center in San Jose, CA. SATELLITE SOUTH SAN JOSE, LLC NPI is 1497532261. The provider is registered as an organization entity type.

The provider's business location address is:

393 BLOSSOM HILL RD STE 110
SAN JOSE, CA
ZIP 95123-653
Phone: (408) 629-9802
Fax: (408) 629-9808

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is President & Chairman and has the following contact phone number (214) 736-2700.

The enumeration date for this NPI number is 9/13/2023 and was last updated on 9/13/2023.

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

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

NPI Synchronization or Removal

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