Wellbound of Emeryville LLC

Primary specialty

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

Legal business name

WELLBOUND OF EMERYVILLE LLC

Doing business as

WellBound of Emeryville

Practice address

2000 Powell St
Suite 140
Emeryville, CA 94608-1804

Phone

(510) 985-9660

Fax

(510) 985-9664

NPI assigned

Feb 3, 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

Bernadette Vincent

Title

President/Coo

Phone

(650) 404-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WellBound of Emeryville Doing business as

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 Healthcare Jamestown

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

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673654400000",
    "number": "1649242686",
    "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": "510-985-9660",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 POWELL ST",
            "address_2": "SUITE 140",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081804",
            "telephone_number": "510-985-9660",
            "fax_number": "510-985-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBOUND OF EMERYVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLBOUND LLC",
        "enumeration_date": "2006-02-03",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "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": "CDC52539F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellBound of Emeryville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellBound of Emeryville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amir Wasserman
• Watermark Bayside, LLC
• Imani D Webster
• Hannah E Wehner
• Marni Weinstock, MPA, MS, RD
• Courtney B Westenburg, FNP-BC
• Western Dental Services, Inc.
• Margeaux Wilkinson
• Christopher R Williams, PA
• Monet J Williams

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Emeryville, CA
• Providers in Emeryville, 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 Jan 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.