Wellbound of Menlo Park LLC

Primary specialty

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

Legal business name

WELLBOUND OF MENLO PARK LLC

Doing business as

WellBound of Daly City

Practice address

2001 Junipero Serra Blvd
Suite 535
Daly City, CA 94014-3891

Phone

(650) 550-3600

Fax

(650) 991-3125

NPI assigned

Jan 30, 2012

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

Bernadette Vincent

Title

President/Coo

Phone

(650) 404-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WellBound of Daly City Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wellbound of Menlo Park LLC

  dba Satellite Wellbound of Fremont

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fremont, CA
  • NPI 1144292186

  8628989365

  Same PAC ID
• Wellbound of Menlo Park LLC

  dba WellBound of San Francisco

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Francisco, CA
  • NPI 1528221249

  8628989365

  Same PAC ID

Tax ID family

Satellite Wellbound of Fremont2 organizations share this tax ID, including this one

Part of

Satellite Laboratory SE

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wellbound of Menlo Park LLC

  dba Satellite Wellbound of Fremont

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fremont, CA
  • NPI 1144292186
  NPD tax ID

Member of 1

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

• Satellite Healthcare Inc

  dba Satellite Healthcare Jamestown

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

  Member Of

  NPD member

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1417229022",
    "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": "650-550-3600",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 JUNIPERO SERRA BLVD",
            "address_2": "SUITE 535",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940143891",
            "telephone_number": "650-550-3600",
            "fax_number": "650-991-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBOUND OF MENLO PARK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2012-01-30",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "650-404-3600"
    },
    "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": "1417229022",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellBound of Daly City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellBound of Daly City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert William Weber, MD
• Weekend NP
• Jessica Xiao Ming Wei, DDS
• Leslie Weinstein, MD
• Wellbound of Daly City, LLC
• Sharon Moriah Wells, P.A.
• Christian Wertman
• West Bay Nephrology Associates
• West Bay Orthopaedic Medical Group, Inc.
• David Jeffrey West

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Daly City, CA
• Providers in Daly City, 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 Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.