Wellbound of Mountain View LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

WELLBOUND OF MOUNTAIN VIEW LLC

Practice address

247 W El Camino Real
Suite 200
Mountain View, CA 94040-2605

Phone

(650) 417-6460

Fax

(650) 404-6007

NPI assigned

Jul 30, 2013

Organization subpart

Yes

Parent organization

SATELLITE HEALTHCARE INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Satellite WellBound of Mountain View Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

SHC WB Mountain ViewCCN 552756

Ownership

Profit

Certified

Jun 19, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Satellite Laboratory SE

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• El Camino Hospital

  • General Acute Care Hospital
  • Los Gatos, CA
  • NPI 1417199340

  Member Of

  NPD member
• Satellite Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jamestown, CA
  • NPI 1649241720

  Member Of

  NPD member

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Graham Edwin Abra, M.D.

  • Nephrology Physician
  • Stanford, CA
  • NPI 1760644678

  Dialysis facility

  Care Compare affiliation Name & address match
• Ian Yee-on Lam, MD

  • Nephrology Physician
  • Mountain View, CA
  • NPI 1518169580

  Dialysis facility

  Care Compare affiliation Name & address match
• Mitra Sorooshian, M.D.

  • Nephrology Physician
  • Mountain View, CA
  • NPI 1902912132

  Dialysis facility

  Care Compare affiliation Name & address match
• Shahrzad Zarghamee, MD

  • Nephrology Physician
  • Mountain View, CA
  • NPI 1689651820

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1083046247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW",
            "address_2": "SUITE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282423",
            "telephone_number": "650-417-6460",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 W EL CAMINO REAL",
            "address_2": "SUITE 200",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402605",
            "telephone_number": "650-417-6460",
            "fax_number": "650-404-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBOUND OF MOUNTAIN VIEW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2013-07-30",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083046247",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite WellBound of Mountain View",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite WellBound of Mountain View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Torrey Wegbreit, MFT
• Christine P. Weigen, M.D.
• Hiliary Cash Weill, M.D.
• Vickey Weir, RN
• Robert Andrew Weiss, M.D.
• Angela Weller, OT
• Jacob Weller, RD
• Stephen Anthony Weller, MD
• Maximilian S Welsh
• Kristin Welter, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mountain View, CA
• Providers in Mountain View, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.