Wellbound of Santa Rosa LLC

Primary specialty

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

Legal business name

WELLBOUND OF SANTA ROSA LLC

Doing business as

WellBound of Santa Rosa

Practice address

2301 Circadian Way
Suite B
Santa Rosa, CA 95407-5416

Phone

(707) 541-3410

Fax

(707) 541-3415

NPI assigned

May 24, 2006

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 Santa Rosa Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

SHC WB Santa RosaCCN 552550

Overall star rating

4.0 of 5

Ownership

Non-profit

Certified

Feb 24, 2006

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 2

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

• Nephrology Associates

  • Specialist
  • Santa Rosa, CA
  • NPI 1063462950

  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 5

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

• Sandra Barrow, M.D.

  • Nephrology Physician
  • Santa Rosa, CA
  • NPI 1437380987

  Dialysis facility

  Care Compare affiliation Name & address match
• Eric L Cheung, M.D.

  • Nephrology Physician
  • Santa Rosa, CA
  • NPI 1497998777

  Dialysis facility

  Care Compare affiliation Name & address match
• Lorigail Trinidad Echipare, D.O

  • Nephrology Physician
  • Santa Rosa, CA
  • NPI 1558725846

  Dialysis facility

  Care Compare affiliation Name & address match
• Sanjay K Menon, MD

  • Nephrology Physician
  • Santa Rosa, CA
  • NPI 1407315633

  Dialysis facility

  Care Compare affiliation Name & address match
• Salvador Federico Calaf, M.D.

  • Orthopaedic Surgery Physician
  • Saint Paul, MN
  • NPI 1053572156

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1326093626",
    "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": "707-541-3410",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CIRCADIAN WAY",
            "address_2": "SUITE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075416",
            "telephone_number": "707-541-3410",
            "fax_number": "707-541-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBOUND OF SANTA ROSA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLBOUND LLC",
        "enumeration_date": "2006-05-24",
        "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": "CDC52550F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellBound of Santa Rosa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellBound of Santa Rosa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ariel Welch
• Francis Welch
• Morgan Alexander Welch, D.O.
• Ronald Welch, MD
• Maurice Welker
• Wellmind Center, a Medical Corporation
• Jane Wells
• Jasmine Belinda Wells
• Mary Ellen Wells, PT
• Shelley Ann Wells

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