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WELLBOUND OF STOCKTON
NPI 1144260811
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Stockton, CA

Active since June 08, 2006CLIA 05D1055539 · Waiver
3/5
Overall Rating
3555 DEER PARK DR, SUITE 140, STOCKTON, CA 95219(209) 955-5630(209) 955-5635 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2023, Dec 29, 2016, May 10, 2016 (3 updates tracked since 2016).

About Wellbound Of Stockton NPPES

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

WELLBOUND OF STOCKTON (NPI 1144260811) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Stockton, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 19, 2028 and lists Bernadette Vincent, President/coo, as its authorized official.

NPPES Registry Identity

NPI1144260811
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWELLBOUND OF STOCKTON LLC
Location Address3555 DEER PARK DR, SUITE 140Stockton, CA 95219-2306
Mailing Address300 Santana Row, Suite 300San Jose, CA 95128-2423 · (209) 955-5630 · Fax (650) 625-6007
Phone(209) 955-5630
Fax(209) 955-5635
Organization SubpartYesParent: Wellbound Llc
Authorized OfficialBernadette VincentPresident/coo · (650) 404-3600
Enumeration DateJune 8, 2006
Last NPPES UpdateJanuary 19, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1144260811 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
3555 DEER PARK DR, Stockton, CA 95219
Open in Google Maps ↗

Other Names 1

Doing Business AsWellbound Of Stockton

Other Identifiers 1

MedicaidCDC52555FCA

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 05D1055539

Wellbound Of Stockton, LLC · Stockton, CA
Active · expires Jun 19, 2028
CLIA Number05D1055539
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorDr. Purushottama B. Sagireddy
Laboratory Phone(209) 955-5630
Laboratory LocationWellbound Of Stockton, LLC3555 Deer Park Dr Ste 140, Stockton, CA 95219
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 Stockton (CMS certification number 552555), from CMS Care Compare.

WellBound of Stockton

Dialysis facility · Stockton, CA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainSatellite Healthcare
CMS Certification Number552555
ESRD NetworkNetwork 17
Medicare-Certified SinceJuly 5, 2006
Location3555 DEER PARK DRIVE SUITE 140Stockton, CA 95219 · San Joaquin County
Phone(209) 955-5630
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 2

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

VITREO-RETINAL MEDICAL GROUP, INC.
Ophthalmology
3555 DEER PARK DR, SUITE 180
STOCKTON, CA 95219
San Joaquin County (209) 938-0496
DR. IVAN CHICCHON
Dentist (General Practice)
3555 DEER PARK DR
STOCKTON, CA 95219
San Joaquin County (209) 242-2977

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 Stockton LLC's NPI number?

The NPI number for Wellbound Of Stockton LLC is 1144260811. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Wellbound Of Stockton.

Where is Wellbound Of Stockton LLC located?

Wellbound Of Stockton LLC is located at 3555 Deer Park Dr Suite 140, Stockton, CA 95219. The listed phone number is (209) 955-5630.

What is Wellbound Of Stockton 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 Stockton LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1055539) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Wellbound Of Stockton LLC a Medicare-certified dialysis facility?

Yes. WellBound of Stockton is a Medicare-certified dialysis facility, certified since July 5, 2006.

What quality rating does Wellbound Of Stockton LLC have?

CMS rates WellBound of Stockton 3 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 Stockton LLC was last updated on January 19, 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.