SATELLITE HEALTHCARE BLOSSOM VALLEY, LLC
NPI 1912784786
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Jose, CA

Q: What is Satellite Healthcare Blossom Valley, 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.

Active since September 13, 2023CLIA 05D2126237 · Waiver

1450 KOOSER RD, SAN JOSE, CA 95118(408) 440-3260(408) 267-1357 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Satellite Healthcare Blossom Valley, Llc NPPES

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

SATELLITE HEALTHCARE BLOSSOM VALLEY, LLC (NPI 1912784786) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Jose, California and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Thomas L Weinberg, Chairman & President, as its authorized official.

NPPES Registry Identity

NPI1912784786

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameSATELLITE HEALTHCARE BLOSSOM VALLEY, LLC

Location Address1450 KOOSER RDSan Jose, CA 95118-3428

Mailing Address5851 Legacy Cir Ste 900Plano, TX 75024-5982

Phone(408) 440-3260

Fax(408) 267-1357

Organization SubpartYesParent: U.s. Renal Care, Inc.

Authorized OfficialThomas L WeinbergChairman & President · (214) 736-2700

Enumeration DateSeptember 13, 2023

NPPES CertifiedSeptember 13, 2023

✔ NPI 1912784786 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

1450 KOOSER RD, San Jose, CA 95118

Open in Google Maps ↗

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 05D2126237

Satellite Healthcare Blossom Valley LLC · San Jose, CA

Active · expires Feb 21, 2027

CLIA Number05D2126237

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateFebruary 22, 2025

Certificate Expiration DateFebruary 21, 2027

Laboratory DirectorLewis L. Haut

Laboratory Phone(408) 440-3260

Laboratory LocationSatellite Healthcare Blossom Valley LLC1450 Kooser Rd, San Jose, CA 95118

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 Blossom Valley, LLC's NPI number?

The NPI number for Satellite Healthcare Blossom Valley, LLC is 1912784786. It was assigned to this organization in the NPPES registry on September 13, 2023.

Where is Satellite Healthcare Blossom Valley, LLC located?

Satellite Healthcare Blossom Valley, LLC is located at 1450 Kooser Rd, San Jose, CA 95118. The listed phone number is (408) 440-3260.

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

Yes. A Certificate of Waiver (number 05D2126237) is associated with this NPI, valid through February 21, 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 Blossom Valley, 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 3 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.