SATELLITE WELLBOUND OF SACRAMENTO UNIVERSITY – NPI #1780173724
Clinic/Center

SATELLITE WELLBOUND OF SACRAMENTO UNIVERSITY is an AHC clinic located in SACRAMENTO, CA. NPPES has assigned the NPI number 1780173724 to SATELLITE WELLBOUND OF SACRAMENTO UNIVERSITY on May 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SATELLITE WELLBOUND OF SACRAMENTO UNIVERSITY” is a dba name, the actual legal business name for this organization is WELLBOUND OF EMERYVILLE LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 3 years ago on Jan 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SATELLITE WELLBOUND OF SACRAMENTO UNIVERSITY below.

NPI Profile for
WELLBOUND OF EMERYVILLE LLC

NPI Number
1780173724
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WELLBOUND OF EMERYVILLE LLC
Doing Business As (dba): SATELLITE WELLBOUND OF SACRAMENTO UNIVERSITY
Primary location
3 PARK CENTER DR STE 120
SACRAMENTO, CA 95825
Phone: (916) 486-8005 Fax: (916) 486-9585
Mailing address
300 SANTANA ROW STE 300
SAN JOSE, CA 95128-2424
Phone: (650) 404-3655 Fax: (650) 625-6007
Organization Subpart
No
Authorized Official
BERNADETTE VINCENT
PRESIDENT/COO
Phone: (650) 404-3600
Updated
Certification Date
Jan 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SATELLITE WELLBOUND OF SACRAMENTO UNIVERSITY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherDBACA3130448
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.