Wellbound of Emeryville LLC

Primary specialty

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

Legal business name

WELLBOUND OF EMERYVILLE LLC

Practice address

2610 El Paseo Lane
Suite F19
Sacramento, CA 95821-4904

Phone

(916) 486-8005

Fax

(916) 486-9585

NPI assigned

Sep 15, 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 Sacramento Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Wellbound of Emeryville LLC2 organizations share this tax ID, including this one

Part of

Wellbound LLC

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

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

Member of 1

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

• Satellite Healthcare Inc

  • 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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1942306188",
    "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": "951282018",
            "telephone_number": "916-486-8005",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 EL PASEO LANE",
            "address_2": "SUITE F19",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214904",
            "telephone_number": "916-486-8005",
            "fax_number": "916-486-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBOUND OF EMERYVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLBOUND LLC",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-09",
        "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": "CDC52387F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellBound of Sacramento",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellBound of Sacramento",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Well-Care Pharmacy
• Well-Care Pharmacy
• Shari Lea Well, RN, MSN
• Wellbeings Family Therapy, Inc.
• Wellbound of Emeryville LLC
• Wellbound of Sacramento, LLC
• Wellcent Inc
• Suzanne Lee Wellendorf, P.A.-C
• Wellfit, Incorporated
• Kristen Michelle Wellington, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sacramento, CA
• Providers in Sacramento, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.