SATELLITE HEALTHCARE MODESTO, LLC
NPI 1013794890
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Modesto, CA

Active since September 13, 2023CLIA 05D2181811 · Waiver
3500 COFFEE RD STE 21, MODESTO, CA 95355(209) 578-0691(209) 578-4479 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Satellite Healthcare Modesto, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SATELLITE HEALTHCARE MODESTO, LLC (NPI 1013794890), doing business as Satellite Healthcare Modesto, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Modesto, California and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Thomas L Weinberg, Chairman & President, as its authorized official.

NPPES Registry Identity

NPI1013794890
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSATELLITE HEALTHCARE MODESTO, LLC
Location Address3500 COFFEE RD STE 21Modesto, CA 95355-1315
Mailing Address5851 Legacy Cir Ste 900Plano, TX 75024-5982
Fax(209) 578-4479
Organization SubpartNo
Authorized OfficialThomas L WeinbergChairman & President · (214) 736-2700
Enumeration DateSeptember 13, 2023
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 24, 2025
NPI 1013794890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
3500 COFFEE RD STE 21, Modesto, CA 95355

Other Names 1

Doing Business AsSatellite Healthcare Modesto

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2181811

Satellite Healthcare Modesto Briggsmore LLC · Modesto, CA
Active · expires Apr 12, 2028
CLIA Number05D2181811
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorRavi Vegasana
Laboratory Phone(209) 661-5037
Laboratory LocationSatellite Healthcare Modesto Briggsmore LLC2401 E Orangeburge Ave Ste 340, Modesto, CA 95355
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0709461

Satellite Healthcare Modesto LLC · Modesto, CA
Expired · Aug 31, 2026
CLIA Number05D0709461
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRonak C. Shah
Laboratory Phone(209) 578-0691
Laboratory LocationSatellite Healthcare Modesto LLC3500 Coffee Road Ste 21, Modesto, CA 95355
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Satellite Healthcare Modesto, LLC's NPI number?

The NPI number for Satellite Healthcare Modesto, LLC is 1013794890. It was assigned to this organization in the NPPES registry on September 13, 2023. The provider is doing business as Satellite Healthcare Modesto.

Where is Satellite Healthcare Modesto, LLC located?

Satellite Healthcare Modesto, LLC is located at 3500 Coffee Rd Ste 21, Modesto, CA 95355. The listed phone number is (209) 578-0691.

What is Satellite Healthcare Modesto, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Satellite Healthcare Modesto, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2181811) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Satellite Healthcare Modesto, LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.