SATELLITE DIALYSIS OF WEST SAN LEANDRO LLC (NPI# 1205199460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205199460 |
| Entity Type | Organization |
| Organization Name | SATELLITE DIALYSIS OF WEST SAN LEANDRO LLC |
| Other Organization Name | SATELLITE HEALTHCARE WEST SAN LEANDRO |
| Practice Address |
2401 Merced St Suite 110 San Leandro CA 94577-4228 |
| Mailing Address |
300 Santana Row Suite 300 San Jose CA 95128-2423 |
| Practice Telephone | 5107463900 |
| Practice Fax Number | 5106148460 |
| Mailing Telephone | 5107463900 |
| Mailing Fax Number | 6506256007 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | SUSAN L DEL BENE (SECRETARY/CFO) |
| 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 | CMS CLIA CERTIFICATE OF WAIVER | 05D2051140 | 01 |
| CA | 1205199460 | 05 |
| Other Name | Type Code |
|---|---|
| Satellite Healthcare West San Leandro | Doing Business As Name - Organization |
| Street Address |
2401 MERCED ST SUITE 110 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982734935 | Ilana Vera Marcucci-morris | Social Worker | 2401 Merced St, San Leandro, CA 94577-4228 | 2007-03-07 |
| 1720568959 | Gregory W Dy | Marriage & Family Therapist | 2401 Merced St, San Leandro, CA 94577-4228 | 2018-08-16 |
| 1588020630 | Katlin Brooks | Social Worker | 2401 Merced St, San Leandro, CA 94577 | 2016-01-05 |
| 1609242023 | Leila Kiriako | Marriage & Family Therapist | 2401 Merced St, San Leandro, CA 94577-4228 | 2015-08-19 |
| 1104250703 | Cora Taylor | Marriage & Family Therapist | 2401 Merced St, San Leandro, CA 94577-4228 | 2013-08-30 |
| 1568895597 | Wing Shan Leung Luster | Marriage & Family Therapist | 2401 Merced St, San Leandro, CA 94577-4228 | 2013-08-13 |
| 1114206729 | Thanh Phuong Le | Social Worker | 2401 Merced St, San Leandro, CA 94577-4228 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| 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 |
|---|---|---|---|---|
| 1316387954 | Sapelo Dialysis LLC | Clinic/Center | 2551 Merced St, San Leandro, CA 94577-4207 | 2013-06-27 |
| 1659513323 | Shayano Dialysis LLC | Clinic/Center | 15555 E 14th St, Ste 520, San Leandro, CA 94578-1949 | 2009-03-27 |
| 1093996738 | Wellbound of San Leandro LLC | Clinic/Center | 1040 Davis Street, Suite 101, San Leandro, CA 94577-1513 | 2007-11-23 |
| 1336213594 | Rai Care Centers of Northern California II, LLC | Clinic/Center | 198 E 14th St, San Leandro, CA 94577-1652 | 2006-11-20 |
| 1386885671 | Satellite Dialysis of San Leandro LLC | Clinic/Center | 801 Davis St, San Leandro, CA 94577-1511 | 2009-03-16 |
| 1184683401 | Total Renal Care Inc | Clinic/Center | 13939 E 14th St, Ste 110, San Leandro, CA 94578-2601 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444765 | Kinter Dialysis, LLC | Clinic/Center | 1055 El Camino Real, Colma, CA 94014-3234 | 2020-10-16 |
| 1063010734 | Monad Dialysis, LLC | Clinic/Center | 5238 Manzanita Ave, Carmichael, CA 95608-0510 | 2020-10-14 |
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1659997112 | Arbela Dialysis LLC | Clinic/Center | 900 Huntington Dr Ste B, San Marino, CA 91108-1825 | 2020-06-22 |
| 1275158487 | Cudahy Peritoneal Dialysis Center | Clinic/Center | 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 | 2020-06-12 |
| 1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
| 1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
| 1790308179 | Palo Dialysis LLC | Clinic/Center | 10211 Long Beach Road, Lynwood, CA 90262-1508 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
Please comment or provide details below to improve the information on SATELLITE DIALYSIS OF WEST SAN LEANDRO LLC.
| 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.