1. Home
  2. Directory
  3. California
  4. Manteca
  5. Clinic Center
  6. NPI Profile

SATELLITE HEALTHCARE MANTECA
NPI 1518748003
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Manteca, CA

Active since October 10, 2023CLIA 05D2303828 · Waiver
2077 W YOSEMITE AVE, MANTECA, CA 95337(650) 404-3600 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2024, May 9, 2024, Oct 10, 2023 (3 updates tracked since 2023).

About Satellite Healthcare Manteca NPPES

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

SATELLITE HEALTHCARE MANTECA (NPI 1518748003) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Manteca, California and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Thomas L Weinberg, Chairman/president, as its authorized official.

NPPES Registry Identity

NPI1518748003
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSATELLITE HEALTHCARE OF WEST YOSEMITE AVENUE LLC
Location Address2077 W YOSEMITE AVEManteca, CA 95337-9604
Mailing Address5851 Legacy Cir Ste 900Plano, TX 75024-5982 · (214) 736-2700
Phone(650) 404-3600
Organization SubpartNo
Authorized OfficialThomas L WeinbergChairman/president · (214) 736-2700
Enumeration DateOctober 10, 2023
Last NPPES UpdateMay 15, 20243 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1518748003 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
2077 W YOSEMITE AVE, Manteca, CA 95337
Open in Google Maps ↗

Other Names 1

Doing Business AsSatellite Healthcare Manteca

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 05D2303828

Satellite Healthcare Manteca · Manteca, CA
Active · expires Apr 30, 2028
CLIA Number05D2303828
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorSwarna Byri
Laboratory Phone(209) 926-2006
Laboratory LocationSatellite Healthcare Manteca2077 W Yosemite Avenue, Manteca, CA 95337
CLIA data matches this NPI record on: Address Name
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 Of West Yosemite Avenue LLC's NPI number?

The NPI number for Satellite Healthcare Of West Yosemite Avenue LLC is 1518748003. It was assigned to this organization in the NPPES registry on October 10, 2023. The provider is doing business as Satellite Healthcare Manteca.

Where is Satellite Healthcare Of West Yosemite Avenue LLC located?

Satellite Healthcare Of West Yosemite Avenue LLC is located at 2077 W Yosemite Ave, Manteca, CA 95337. The listed phone number is (650) 404-3600.

What is Satellite Healthcare Of West Yosemite Avenue 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 Of West Yosemite Avenue LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2303828) is associated with this NPI, valid through April 30, 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 Of West Yosemite Avenue LLC was last updated on May 15, 2024. 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.