Wellbound of San Leandro LLC

Primary specialty

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

Legal business name

WELLBOUND OF SAN LEANDRO LLC

Doing business as

WellBound of San Leandro

Practice address

1040 Davis Street
Suite 101
San Leandro, CA 94577-1513

Phone

(510) 383-9602

Fax

(510) 383-9631

NPI assigned

Nov 23, 2007

Last updated

May 15, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

WELLBOUND LLCAs 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

• WellBound of San Leandro Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

SHC WB San LeandroCCN 552600

Overall star rating

5.0 of 5

Ownership

Non-profit

Certified

Jul 17, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

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

Wellbound LLC

Member of 1

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

• Satellite Healthcare, Inc.

  dba Satellite Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Mateo, CA
  • NPI 1730110578

  Member Of

  NPD member

Locations

Affiliated clinicians 5

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

• Archana Aggarwal, M.D.

  • Nephrology Physician
  • Castro Valley 94546, CA
  • NPI 1326024084

  Dialysis facility

  Care Compare affiliation Name & address match
• Yakuan Yvonne Chen, M.D.

  • Nephrology Physician
  • Oakland, CA
  • NPI 1306959135

  Dialysis facility

  Care Compare affiliation Name & address match
• Ole Dierks, M.D.

  • Nephrology Physician
  • Oakland, CA
  • NPI 1740221514

  Dialysis facility

  Care Compare affiliation Name & address match
• Guity Farahmand, MD

  • Nephrology Physician
  • Oakland, CA
  • NPI 1700017175

  Dialysis facility

  Care Compare affiliation Name & address match
• Hussain Gilani, M.D.

  • Nephrology Physician
  • Oakland, CA
  • NPI 1588800080

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1093996738",
    "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": "510-383-9602",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DAVIS STREET",
            "address_2": "SUITE 101",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771513",
            "telephone_number": "510-383-9602",
            "fax_number": "510-383-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBOUND OF SAN LEANDRO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLBOUND LLC",
        "enumeration_date": "2007-11-23",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093996738",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellBound of San Leandro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellBound of San Leandro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Herbert B Weingard, M.D.
• Glenn Michael Weinraub, DPM
• Robyn Diane Weiss, M.D.
• Anna Weitzman
• Cheryl Yvette Welch, LCSW
• Chaunta Wells
• Eric Lee Weng, M.D.
• Jeanna Marie Werner
• Karla Inez Werninghaus, M.D.
• Michael Werth

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in San Leandro, CA
• Providers in San Leandro, 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.