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WELLBOUND OF DALY CITY
NPI 1417229022
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Daly City, CA

Active since January 30, 2012CLIA 05D2048405 · Waiver
2001 JUNIPERO SERRA BLVD, SUITE 535, DALY CITY, CA 94014(650) 550-3600(650) 991-3125 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2023, Dec 30, 2016, May 9, 2016 (3 updates tracked since 2016).

About Wellbound Of Daly City NPPES

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

WELLBOUND OF DALY CITY (NPI 1417229022) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Daly City, California and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Bernadette Vincent, President/coo, as its authorized official.

NPPES Registry Identity

NPI1417229022
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWELLBOUND OF MENLO PARK LLC
Location Address2001 JUNIPERO SERRA BLVD, SUITE 535Daly City, CA 94014-3891
Mailing Address300 Santana Row, Suite 300San Jose, CA 95128-2423 · (650) 550-3600 · Fax (650) 625-6007
Phone(650) 550-3600
Fax(650) 991-3125
Organization SubpartYesParent: Satellite Healthcare Inc
Authorized OfficialBernadette VincentPresident/coo · (650) 404-3600
Enumeration DateJanuary 30, 2012
Last NPPES UpdateApril 12, 20233 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1417229022 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
2001 JUNIPERO SERRA BLVD, Daly City, CA 94014
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Other Names 1

Doing Business AsWellbound Of Daly City

Other Identifiers 1

Medicaid1417229022CA

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 05D2048405

Wellbound Of Daly City · Daly City, CA
Active · expires Oct 15, 2026
CLIA Number05D2048405
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorKerry Cho
Laboratory Phone(650) 550-3600
Laboratory LocationWellbound Of Daly City2001 Junipero Serra Blvd Ste 535, Daly City, CA 94014
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 Daly City (CMS certification number 552719), from CMS Care Compare.

WellBound of Daly City

Dialysis facility · Daly City, CA
OwnershipNon-profit
ChainSatellite Dialysis
CMS Certification Number552719
ESRD NetworkNetwork 17
Hemodialysis Stations4
Medicare-Certified SinceJune 12, 2013
Location2001 JUNIPERO SERRA BLVDDaly City, CA 94014 · San Mateo County
Phone(650) 550-3600
Services Offered
Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 13

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

CHAN-QUAN NGUYEN
Social Worker (Clinical)
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
San Mateo County (650) 991-6200
MS. CATHERINE HAEJIN RHEE-WOROBEC PH.D.
Psychologist (Clinical)
2001 JUNIPERO SERRA BLVD, SUITE 650
DALY CITY, CA 94014
San Mateo County (650) 892-5376
JENNIFER AGOSTINELLI MFT
Marriage & Family Therapist
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
San Mateo County (626) 621-0400
ARLENA A KROLICZEK PSYD
Psychologist
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
San Mateo County (650) 991-6200
GENEVIEVE MARY LEWIS LPCC
Counselor (Professional)
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
San Mateo County (650) 991-6200
MR. JESSICA KATE FRANCIS LCSW
Social Worker (Clinical)
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
San Mateo County (650) 742-2000
DANIELLE LYNN HALL PSYD
Psychologist
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
San Mateo County (650) 742-2151
JACQUELINE WARNER MFT
Marriage & Family Therapist
2001 JUNIPERO SERRA BLVD
DALY CITY, CA 94014
San Mateo County (650) 991-6200

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 Menlo Park LLC's NPI number?

The NPI number for Wellbound Of Menlo Park LLC is 1417229022. It was assigned to this organization in the NPPES registry on January 30, 2012. The provider is doing business as Wellbound Of Daly City.

Where is Wellbound Of Menlo Park LLC located?

Wellbound Of Menlo Park LLC is located at 2001 Junipero Serra Blvd Suite 535, Daly City, CA 94014. The listed phone number is (650) 550-3600.

What is Wellbound Of Menlo Park 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 Menlo Park LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2048405) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Wellbound Of Menlo Park LLC a Medicare-certified dialysis facility?

Yes. WellBound of Daly City is a Medicare-certified dialysis facility, certified since June 12, 2013.

When was this NPI record last updated?

The NPPES record for Wellbound Of Menlo Park LLC was last updated on April 12, 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.