SATELLITE HEALTHCARE JAMESTOWN, LLC
NPI 1386422947
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jamestown, CA

Active since September 15, 2023CLIA 05D0709460 · Waiver
18330 HIGHWAY 108, JAMESTOWN, CA 95327(209) 532-3072 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Satellite Healthcare Jamestown, Llc NPPES

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

SATELLITE HEALTHCARE JAMESTOWN, LLC (NPI 1386422947), doing business as Satellite Healthcare Jamestown, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jamestown, California and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ryan Pardo, Secretary/general Counsel, as its authorized official.

NPPES Registry Identity

NPI1386422947
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSATELLITE HEALTHCARE JAMESTOWN, LLC
Location Address18330 HIGHWAY 108Jamestown, CA 95327-9615
Mailing Address300 Santana Row Ste 300San Jose, CA 95128-2424 · (650) 404-3735
Organization SubpartNo
Authorized OfficialRyan PardoSecretary/general Counsel · (650) 404-3600
Enumeration DateSeptember 15, 2023
NPPES CertifiedSeptember 14, 2023
NPI 1386422947 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
18330 HIGHWAY 108, Jamestown, CA 95327

Other Names 1

Doing Business AsSatellite Healthcare Jamestown

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 05D0709460

Satellite Healthcare Jamestown · Jamestown, CA
Active · expires Aug 31, 2026
CLIA Number05D0709460
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKishore K. Kalluri MD
Laboratory Phone(209) 532-3072
Laboratory LocationSatellite Healthcare Jamestown18330 Hwy 108, Jamestown, CA 95327
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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
18330 HIGHWAY 108
JAMESTOWN, CA 95327

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 Jamestown, LLC's NPI number?

The NPI number for Satellite Healthcare Jamestown, LLC is 1386422947. It was assigned to this organization in the NPPES registry on September 15, 2023. The provider is doing business as Satellite Healthcare Jamestown.

Where is Satellite Healthcare Jamestown, LLC located?

Satellite Healthcare Jamestown, LLC is located at 18330 Highway 108, Jamestown, CA 95327. The listed phone number is (209) 532-3072.

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

Yes. A Certificate of Waiver (number 05D0709460) is associated with this NPI, valid through August 31, 2026. 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 Jamestown, LLC was last updated on September 15, 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.