WELLBOUND OF SANTA CRUZ
NPI 1295501583
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Santa Cruz, CA

Active since November 28, 2023CLIA 05D2052794 · Waiver
2128 SOQUEL AVE, SANTA CRUZ, CA 95062(831) 600-4840 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellbound Of Santa Cruz NPPES

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

WELLBOUND OF SANTA CRUZ (NPI 1295501583) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Santa Cruz, California and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Thomas L Weinberg, Chairman, as its authorized official.

NPPES Registry Identity

NPI1295501583
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWELLBOUND OF SANTA CRUZ, LLC
Location Address2128 SOQUEL AVESanta Cruz, CA 95062-1401
Mailing Address5851 Legacy Cir Ste 900Plano, TX 75024-5982 · (214) 736-2700
Organization SubpartNo
Authorized OfficialThomas L WeinbergChairman · (214) 736-2700
Enumeration DateNovember 28, 2023
Last NPPES UpdateMay 9, 2024
NPPES CertifiedMay 9, 2024
NPI 1295501583 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
2128 SOQUEL AVE, Santa Cruz, CA 95062

Other Names 1

Doing Business AsWellbound Of Santa Cruz

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 05D2052794

Wellbound Of Santa Cruz · Santa Cruz, CA
Active · expires Jan 17, 2027
CLIA Number05D2052794
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorShraddha Rana
Laboratory Phone(831) 600-4840
Laboratory LocationWellbound Of Santa Cruz2128 Soquel Ave., Santa Cruz, CA 95062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2128 SOQUEL AVE
SANTA CRUZ, CA 95062

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 Santa Cruz, LLC's NPI number?

The NPI number for Wellbound Of Santa Cruz, LLC is 1295501583. It was assigned to this organization in the NPPES registry on November 28, 2023. The provider is doing business as Wellbound Of Santa Cruz.

Where is Wellbound Of Santa Cruz, LLC located?

Wellbound Of Santa Cruz, LLC is located at 2128 Soquel Ave, Santa Cruz, CA 95062. The listed phone number is (831) 600-4840.

What is Wellbound Of Santa Cruz, 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 Santa Cruz, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2052794) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellbound Of Santa Cruz, LLC was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.