1. Home
  2. Directory
  3. California
  4. Modesto
  5. Clinic Center
  6. NPI Profile

WELLBOUND OF MODESTO
NPI 1932171972
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Modesto, CA

Active since February 03, 2006CLIA 05D1024134 · Waiver
1315 10TH ST, SUITE 100, MODESTO, CA 95354(209) 238-4080(209) 238-4084 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, Dec 29, 2016, May 9, 2016 (3 updates tracked since 2016).

About Wellbound Of Modesto NPPES

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

WELLBOUND OF MODESTO (NPI 1932171972) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Modesto, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Thomas L Weinberg, Chairman, as its authorized official.

NPPES Registry Identity

NPI1932171972
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWELLBOUND OF MODESTO LLC
Location Address1315 10TH ST, SUITE 100Modesto, CA 95354-0714
Mailing Address300 Santana Row, 300San Jose, CA 95128-2423 · (209) 238-4080 · Fax (650) 625-6007
Phone(209) 238-4080
Fax(209) 238-4084
Organization SubpartYesParent: Wellbound Llc
Authorized OfficialThomas L WeinbergChairman · (214) 736-2700
Enumeration DateFebruary 3, 2006
Last NPPES UpdateMay 15, 20243 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1932171972 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
1315 10TH ST, Modesto, CA 95354
Open in Google Maps ↗

Other Names 1

Doing Business AsWellbound Of Modesto

Other Identifiers 1

MedicaidCDC52524FCA

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 05D1024134

Wellbound Of Modesto · Modesto, CA
Active · expires Apr 1, 2028
CLIA Number05D1024134
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorSwarna Byri
Laboratory Phone(209) 238-4080
Laboratory LocationWellbound Of Modesto1315 10th St Ste 100, Modesto, CA 95354
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.

SATELLITE DIALYSIS-CENTRAL MODESTO LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1315 10TH ST, SUITE 300
MODESTO, CA 95354
Stanislaus County (209) 238-4087

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 Modesto LLC's NPI number?

The NPI number for Wellbound Of Modesto LLC is 1932171972. It was assigned to this organization in the NPPES registry on February 3, 2006. The provider is doing business as Wellbound Of Modesto.

Where is Wellbound Of Modesto LLC located?

Wellbound Of Modesto LLC is located at 1315 10th St Suite 100, Modesto, CA 95354. The listed phone number is (209) 238-4080.

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

Yes. A Certificate of Waiver (number 05D1024134) is associated with this NPI, valid through April 1, 2028. 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 Modesto 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.