SATELLITE DIALYSIS OF OAKLAND LLC (NPI# 1164794715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164794715 |
| Entity Type | Organization |
| Organization Name | SATELLITE DIALYSIS OF OAKLAND LLC |
| Other Organization Name | SATELLITE HEALTHCARE OAKLAND |
| Practice Address |
3330 Telegraph Ave Oakland CA 94609-3025 |
| Mailing Address |
300 Santana Row Suite 300 San Jose CA 95128-2423 |
| Practice Telephone | 5104338340 |
| Practice Fax Number | 5105471444 |
| Mailing Telephone | 5104338340 |
| Mailing Fax Number | 6506256007 |
| Enumeration Date | 2012-01-29 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | SUSAN L DEL BENE (PRESIDENT/CEO) |
| Authorized Official Telephone | 6504043618 |
| Is Organization Subpart | Y |
| Parent Organization Name | SATELLITE HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 550002213 | 01 |
| CA | 1164794715 | 05 |
| Other Name | Type Code |
|---|---|
| Satellite Healthcare Oakland | Doing Business As Name - Organization |
| Street Address |
3330 TELEGRAPH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801997721 | Stuart S. London Md,inc | Radiology | 3330 Telegraph Ave, Oakland, CA 94609-3028 | 2006-09-25 |
| 1306004106 | Eddie C Cheung Md | Internal Medicine | 3330 Telegraph Ave, Oakland, CA 94609-3025 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992341879 | Minneopa Dialysis, LLC | Clinic/Center | 3814 Macarthur Blvd Ste 201, Oakland, CA 94619-1315 | 2019-11-26 |
| 1831615855 | Kershaw Dialysis LLC | Clinic/Center | 4242 Broadway, Oakland, CA 94611-5130 | 2017-08-22 |
| 1568699882 | Llano Dialysis LLC | Clinic/Center | 5352 Claremont Ave, Oakland, CA 94618-1035 | 2009-06-12 |
| 1104053412 | Llano Dialysis LLC | Clinic/Center | 10700 Macarthur Blvd Ste 14, Oakland, CA 94605-5260 | 2009-06-12 |
| 1982888202 | Rai Care Centers of Oakland II, LLC | Clinic/Center | 2628 International Blvd, Suite 100, Oakland, CA 94601-1512 | 2007-12-21 |
| 1003980350 | Rai Care Centers of Northern California II, LLC | Clinic/Center | 2757 Telegraph Ave, Oakland, CA 94612-1733 | 2006-11-20 |
| 1295746527 | Independent Dialysis Foundation, Inc | Clinic/Center | 888 Memorial Dr, Oakland, MD 21550-5101 | 2006-08-11 |
| 1952364101 | Total Renal Care Piedmont Dialysis Partnership | Clinic/Center | 2633 Telegraph Ave, Ste 115, Oakland, CA 94612-1743 | 2006-04-10 |
| 1447224365 | Dva Healthcare Renal Care Inc | Clinic/Center | 5354 Claremont Ave, Oakland, CA 94618-1035 | 2006-02-15 |
| 1619164712 | Rai Care Centers of Oakland I, LLC | Clinic/Center | 2710 Telegraph Ave, Suite 205, Oakland, CA 94612-1770 | 2007-10-02 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.