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WELLBOUND OF SAN MATEO
NPI 1023161734
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Mateo, CA

Active since January 18, 2007CLIA 05D1065636 · Waiver
5/5
Overall Rating
2000 S EL CAMINO REAL, SAN MATEO, CA 94403(650) 377-0882(650) 358-3906 Get Directions Write a Review

NPPES record last updated: January 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2023, Dec 30, 2016, May 10, 2016 (3 updates tracked since 2016).

About Wellbound Of San Mateo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLBOUND OF SAN MATEO (NPI 1023161734) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Mateo, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Bernadette Vincent, President/coo, as its authorized official.

NPPES Registry Identity

NPI1023161734
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWELLBOUND OF SAN JOSE, LLC
Location Address2000 S EL CAMINO REALSan Mateo, CA 94403-1805
Mailing Address300 Santana Row, Suite 300San Jose, CA 95128-2018 · (650) 377-0882 · Fax (650) 404-3601
Phone(650) 377-0882
Fax(650) 358-3906
Organization SubpartYesParent: Wellbound, Llc
Authorized OfficialBernadette VincentPresident/coo · (650) 404-3600
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJanuary 14, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2023
✔ NPI 1023161734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
2000 S EL CAMINO REAL, San Mateo, CA 94403
Open in Google Maps ↗

Other Names 1

Doing Business AsWellbound Of San Mateo

Other Identifiers 1

MedicaidCDC52582FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1065636

Wellbound Of San Mateo · San Mateo, CA
Active · expires Mar 5, 2027
CLIA Number05D1065636
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorJenny I. Lee
Laboratory Phone(650) 377-0882
Laboratory LocationWellbound Of San Mateo2000 S El Camino Real 2nd Floor, San Mateo, CA 94403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for WellBound of San Mateo (CMS certification number 552582), from CMS Care Compare.

WellBound of San Mateo

Dialysis facility · San Mateo, CA
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainSatellite Healthcare
CMS Certification Number552582
ESRD NetworkNetwork 17
Hemodialysis Stations4
Medicare-Certified SinceJuly 12, 2007
Location2000 SOUTH EL CAMINO REAL 2ND FLOORSan Mateo, CA 94403 · San Mateo County
Phone(650) 377-0882
Services Offered
Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENINSULA NEPHROLOGY, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2000 S EL CAMINO REAL
SAN MATEO, CA 94403
San Mateo County (650) 377-0200
PENINSULA NEPHROLOGY, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2000 S EL CAMINO REAL
SAN MATEO, CA 94403
San Mateo County (650) 377-0200
SATELLITE HEALTHCARE, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2000 S EL CAMINO REAL
SAN MATEO, CA 94403
San Mateo County (650) 377-0888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellbound Of San Jose, LLC's NPI number?

The NPI number for Wellbound Of San Jose, LLC is 1023161734. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Wellbound Of San Mateo.

Where is Wellbound Of San Jose, LLC located?

Wellbound Of San Jose, LLC is located at 2000 S El Camino Real, San Mateo, CA 94403. The listed phone number is (650) 377-0882.

What is Wellbound Of San Jose, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Wellbound Of San Jose, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1065636) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Wellbound Of San Jose, LLC a Medicare-certified dialysis facility?

Yes. WellBound of San Mateo is a Medicare-certified dialysis facility, certified since July 12, 2007.

What quality rating does Wellbound Of San Jose, LLC have?

CMS rates WellBound of San Mateo 5 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Wellbound Of San Jose, LLC was last updated on January 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.