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NPI Code Detail

MEDICARE: SATELLITE HEALTHCARE INC

MEDICARE: SATELLITE HEALTHCARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2550002641OTHERCASTATE

General Provider Information

NPI Number : 1982047783
Entity Type Code : Organization
Provider Name (Legal Business Name) : SATELLITE HEALTHCARE INC
Provider Business Mailing Address
First Line : 300 SANTANA ROW
Second Line : STE 300
City : SAN JOSE
State : CA
Zip : 95128-2423
Country : US
Telephone Number : 707-561-7150
Fax Number : 650-625-6007
Provider Business Practice Location Address
First Line : 4300 SONOMA BLVD
Second Line : STE 25
City : VALLEJO
State : CA
Zip : 94589-2200
Country : US
Telephone Number : 707-561-7150
Fax Number : 707-554-4481
Authorized Official
Title or Position : PRESIDENT/COO
Name : BERNADETTE VINCENT
Credential :
Telephone Number : 650-404-3600
Provider Enumeration Date : 04/10/2013
Last Update Date : 01/13/2023

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Directions to “SATELLITE HEALTHCARE INC ” Practice Location

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