SATELLITE HEALTHCARE VALLEJO, LLC
NPI 1124805908
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Vallejo, CA

Active since September 13, 2023CLIA 05D2068026 · Waiver
4300 SONOMA BLVD STE 25, VALLEJO, CA 94589(707) 561-7150(707) 554-4487 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Satellite Healthcare Vallejo, Llc NPPES

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

SATELLITE HEALTHCARE VALLEJO, LLC (NPI 1124805908) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Vallejo, California and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Thomas L Weinberg, Chairman & President, as its authorized official.

NPPES Registry Identity

NPI1124805908
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSATELLITE HEALTHCARE VALLEJO, LLC
Location Address4300 SONOMA BLVD STE 25Vallejo, CA 94589-2276
Mailing Address5851 Legacy Cir Ste 900Plano, TX 75024-5982
Fax(707) 554-4487
Organization SubpartYesParent: U.s. Renal Care, Inc.
Authorized OfficialThomas L WeinbergChairman & President · (214) 736-2700
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
NPI 1124805908 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
4300 SONOMA BLVD STE 25, Vallejo, CA 94589

CLIA Laboratory Certificates CMS CLIA

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 05D2068026

Satellite Healthcare Vallejo, LLC · Vallejo, CA
Active · expires Oct 27, 2027
CLIA Number05D2068026
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorHashem S. Dajani, MD
Laboratory Phone(707) 561-7150
Laboratory LocationSatellite Healthcare Vallejo, LLC4300 Sonoma Blvd Ste 25, Vallejo, CA 94589
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4300 SONOMA BLVD STE 25
VALLEJO, CA 94589

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 Vallejo, LLC's NPI number?

The NPI number for Satellite Healthcare Vallejo, LLC is 1124805908. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is Satellite Healthcare Vallejo, LLC located?

Satellite Healthcare Vallejo, LLC is located at 4300 Sonoma Blvd Ste 25, Vallejo, CA 94589. The listed phone number is (707) 561-7150.

What is Satellite Healthcare Vallejo, 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 Vallejo, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2068026) is associated with this NPI, valid through October 27, 2027. 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 Vallejo, LLC was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.