WELLBOUND OF VALLEJO
NPI 1487699567
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Vallejo, CA
NPI Status: Active since June 20, 2006
Contact Information
480 REDWOOD ST
SUITE 40
VALLEJO, CA
ZIP 94590
Phone: (707) 556-3070
Fax: (707) 556-3075
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
- CLIA Number: 05D1061888
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 11-28-2026
About WELLBOUND OF VALLEJO
This page provides the complete NPI Profile along with additional information for Wellbound Of Vallejo, a provider established in Vallejo, California operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1487699567 assigned on June 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Wellbound Of Vallejo. The authorized official of this NPI record is Thomas L Weinberg (President/coo)
- NPI
- 1487699567
- Provider Legal Name
- WELLBOUND OF VALLEJO LLC
- Other Organization Name
- WELLBOUND OF VALLEJO
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 480 REDWOOD ST SUITE 40 VALLEJO, CA 94590
- Location Phone
- (707) 556-3070
- Location Fax
- (707) 556-3075
- Mailing Address
- 300 SANTANA ROW SUITE 300 SAN JOSE, CA 95128
- Mailing Phone
- (707) 556-3070
- Mailing Fax
- (707) 556-3075
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-20-2006
- Last Update Date
- 05-15-2024
- Code Navigator
According to the Dialysis Facility Compare program data, Wellbound Of Vallejo doesn't have a Quality of Patient Care Star Rating available at this time because not enough quality measure data to calculate a star rating.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CDC52560F | MEDICAID (05) | CA |
Dialysis Facility Compare Information
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1061888
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- November 29, 2024
- Certificate Expiration Date
- November 28, 2026
- Laboratory Director
- GENEVIEVE ESTILO MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellbound Of Vallejo to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for WELLBOUND OF VALLEJO
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 8 | 7 | 6 | 9 | 9 | 5 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 12 | 9 | 18 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 2 + 9 + 1 + 8 + 5 + 1 + 2 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1487699567 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730167370 | PAUL DAVID WEINER Individual | Podiatrist (Foot & Ankle Surgery) | 480 REDWOOD ST SUITE 10 VALLEJO, CA 94590 (707) 643-3687 |
| 1912009283 | DR. RONALD GEORGE BIESELIN MD Individual | Surgery | 480 REDWOOD ST SUITE 14 VALLEJO, CA 94590 (707) 642-2111 |
| 1386825750 | LAURENCE J. MAZZOTTA MD PC Organization | Internal Medicine (Gastroenterology) | 480 REDWOOD ST SUITE 14 VALLEJO, CA 94590 (707) 648-3327 |
| 1730350422 | PAUL DAVID WEINER Organization | Podiatrist (Foot & Ankle Surgery) | 480 REDWOOD ST SUITE 10 VALLEJO, CA 94590 (707) 643-3687 |
| 1063737609 | SETTY DDS INC. Organization | Dentist | 480 REDWOOD ST SUITE 13 VALLEJO, CA 94590 (510) 449-9746 |
| 1578873592 | JACKSON MEDICAL SUPPLY INC Organization | Durable Medical Equipment & Medical Supplies | 480 REDWOOD ST # 44 VALLEJO, CA 94590 (707) 644-4170 |
| 1790100519 | TERI BILHARTZ MEDICAL CORPORATION Organization | General Practice | 480 REDWOOD ST SUITE 14 VALLEJO, CA 94590 (707) 654-9777 |
| 1801258330 | DENTAL OFFICE OF MOUNIR N. GUIRGUIS DDS, INC. Organization | Dentist (General Practice) | 480 REDWOOD ST SUITE #13 VALLEJO, CA 94590 (707) 554-2600 |
| 1609187392 | DR. RYAN CHRISTIAN THOMAS D.P.M. Individual | Podiatrist (Foot & Ankle Surgery) | 480 REDWOOD ST SUITE 10 VALLEJO, CA 94590 (707) 643-3687 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487699567, enumerated in the NPI registry as an "organization" on June 20, 2006
The provider is located at 480 Redwood St Suite 40 Vallejo, Ca 94590 and the phone number is (707) 556-3070
This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D1061888 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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