WELLBOUND OF EMERYVILLE LLC (NPI# 1780173724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780173724 |
| Entity Type | Organization |
| Organization Name | WELLBOUND OF EMERYVILLE LLC |
| Other Organization Name | SATELLITE WELLBOUND OF SACRAMENTO UNIVERSITY |
| Practice Address |
3 Park Center Dr Ste 120 Sacramento CA 95825 |
| Mailing Address |
300 Santana Row Ste 300 San Jose CA 95128-2424 |
| Practice Telephone | 9164868005 |
| Practice Fax Number | 9164869585 |
| Mailing Telephone | 6504043655 |
| Mailing Fax Number | 6506256007 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | SUSAN L DEL BENE (CFO) |
| Authorized Official Telephone | 6504043618 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DBA | 3130448 | 01 |
| Other Name | Type Code |
|---|---|
| Satellite WellBound of Sacramento University | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942306188 | Wellbound of Emeryville LLC | Clinic/Center | 2610 El Paseo Lane, Suite F19, Sacramento, CA 95821-4904 | 2006-09-15 |
| 1649242686 | Wellbound of Emeryville LLC | Clinic/Center | 2000 Powell St, Suite 140, Emeryville, CA 94608-1804 | 2006-02-03 |
| Street Address |
3 PARK CENTER DR STE 120 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871128173 | Dialysis Clinic Inc | Clinic/Center | 1955 36th St, Sacramento, CA 95816-6634 | 2020-03-06 |
| 1235642950 | Regents of The University of California | Clinic/Center | 2521 Stockton Blvd Ste 2200, Sacramento, CA 95817-2207 | 2017-11-16 |
| 1841741857 | Landor Dialysis LLC | Clinic/Center | 2980 Advantage Way, Sacramento, CA 95834-9666 | 2016-10-14 |
| 1033584248 | Lyndale Dialysis LLC | Clinic/Center | 4401 Mack Rd, Sacramento, CA 95823-4545 | 2015-12-14 |
| 1568847929 | Glosser Dialysis LLC | Clinic/Center | 2624 Stockton Blvd, Sacramento, CA 95817-2210 | 2015-07-28 |
| 1477807139 | Dialysis Clinic Inc. | Clinic/Center | 1545 Meadowview Rd, Suites 130 - 180, Sacramento, CA 95832-1081 | 2012-11-02 |
| 1790051761 | Satellite Healthcare Inc | Clinic/Center | 646 N Market Blvd, Sacramento, CA 95834-1248 | 2012-03-23 |
| 1427322411 | Goliad Dialysis LLC | Clinic/Center | 251 Lathrop Way, Ste A, Sacramento, CA 95815-4223 | 2012-03-08 |
| 1184906745 | Rai Care Centers of Northern California I LLC | Clinic/Center | 4660 Mack Rd, Suite 168, Sacramento, CA 95823-8200 | 2011-09-09 |
| 1093030504 | Griffin Dialysis LLC | Clinic/Center | 8243 E Stockton Blvd Ste 100, Sacramento, CA 95828-8204 | 2010-03-29 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on WELLBOUND OF EMERYVILLE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.