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WELLBOUND OF VALLEJO
NPI 1487699567
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Vallejo, CA

Active since June 20, 2006CLIA 05D1061888 · Waiver
480 REDWOOD ST, SUITE 40, VALLEJO, CA 94590(707) 556-3070(707) 556-3075 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2024, Jan 19, 2023, Dec 29, 2016 and 1 more (4 updates tracked since 2016).

About Wellbound Of Vallejo NPPES

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

WELLBOUND OF VALLEJO (NPI 1487699567) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Vallejo, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Thomas L Weinberg, President/coo, as its authorized official.

NPPES Registry Identity

NPI1487699567
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWELLBOUND OF VALLEJO LLC
Location Address480 REDWOOD ST, SUITE 40Vallejo, CA 94590-2958
Mailing Address300 Santana Row, Suite 300San Jose, CA 95128-2423 · (707) 556-3070 · Fax (650) 625-6007
Phone(707) 556-3070
Fax(707) 556-3075
Organization SubpartYesParent: Wellbound Llc
Authorized OfficialThomas L WeinbergPresident/coo · (214) 736-2700
Enumeration DateJune 20, 2006
Last NPPES UpdateMay 15, 20244 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1487699567 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
480 REDWOOD ST, Vallejo, CA 94590
Open in Google Maps ↗

Other Names 1

Doing Business AsWellbound Of Vallejo

Other Identifiers 1

MedicaidCDC52560FCA

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 05D1061888

Wellbound Of Vallejo, LLC · Vallejo, CA
Active · expires Nov 28, 2026
CLIA Number05D1061888
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorGenevieve Estilo MD
Laboratory Phone(707) 556-3070
Laboratory LocationWellbound Of Vallejo, LLC480 Redwood St Ste 40, Vallejo, CA 94590
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 Vallejo (CMS certification number 552560), from CMS Care Compare.

WellBound of Vallejo

Dialysis facility · Vallejo, CA
OwnershipNon-profit
ChainSatellite Healthcare
CMS Certification Number552560
ESRD NetworkNetwork 17
Hemodialysis Stations4
Medicare-Certified SinceOctober 18, 2006
Location480 REDWOOD STREET SUITE 40Vallejo, CA 94590 · Solano County
Phone(707) 556-3070
Services Offered
Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 9

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

SETTY DDS INC.
Dentist
480 REDWOOD ST, SUITE 13
VALLEJO, CA 94590
Solano County (510) 449-9746
LAURENCE J. MAZZOTTA MD PC
Internal Medicine (Gastroenterology)
480 REDWOOD ST, SUITE 14
VALLEJO, CA 94590
Solano County (707) 648-3327
JACKSON MEDICAL SUPPLY INC
Durable Medical Equipment & Medical Supplies
480 REDWOOD ST, # 44
VALLEJO, CA 94590
Solano County (707) 644-4170
DR. RYAN CHRISTIAN THOMAS D.P.M.
Podiatrist (Foot & Ankle Surgery)
480 REDWOOD ST, SUITE 10
VALLEJO, CA 94590
Solano County (707) 643-3687
PAUL DAVID WEINER
Podiatrist (Foot & Ankle Surgery)
480 REDWOOD ST, SUITE 10
VALLEJO, CA 94590
Solano County (707) 643-3687
PAUL DAVID WEINER
Podiatrist (Foot & Ankle Surgery)
480 REDWOOD ST, SUITE 10
VALLEJO, CA 94590
Solano County (707) 643-3687
TERI BILHARTZ MEDICAL CORPORATION
General Practice
480 REDWOOD ST, SUITE 14
VALLEJO, CA 94590
Solano County (707) 654-9777
DENTAL OFFICE OF MOUNIR N. GUIRGUIS DDS, INC.
Dentist (General Practice)
480 REDWOOD ST, SUITE #13
VALLEJO, CA 94590
Solano County (707) 554-2600

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 Vallejo LLC's NPI number?

The NPI number for Wellbound Of Vallejo LLC is 1487699567. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Wellbound Of Vallejo.

Where is Wellbound Of Vallejo LLC located?

Wellbound Of Vallejo LLC is located at 480 Redwood St Suite 40, Vallejo, CA 94590. The listed phone number is (707) 556-3070.

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

Yes. A Certificate of Waiver (number 05D1061888) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Yes. WellBound of Vallejo is a Medicare-certified dialysis facility, certified since October 18, 2006.

When was this NPI record last updated?

The NPPES record for Wellbound Of Vallejo LLC was last updated on May 15, 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.