Wound Healing Care Specialists, Inc. | |
10621 Church St Ste 120, Rancho Cucamonga, CA 91730-6862 | |
(909) 944-0486 | |
(909) 944-3161 |
Full Name | Wound Healing Care Specialists, Inc. |
---|---|
Type | Facility |
Speciality | Surgery |
Location | 10621 Church St Ste 120, Rancho Cucamonga, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306317961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
Provider Name | Pete Carrasco |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1073573127 PECOS PAC ID: 7315990553 Enrollment ID: I20050228000518 |
Provider Name | Bryce D Beseth |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1811929243 PECOS PAC ID: 8820025158 Enrollment ID: I20050719000610 |
Provider Name | Dee M Larcheveque |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1033153754 PECOS PAC ID: 8123078383 Enrollment ID: I20061129000188 |
Provider Name | Luke D Gentry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174709737 PECOS PAC ID: 3274618012 Enrollment ID: I20080304000672 |
Provider Name | Frances Lim |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942477641 PECOS PAC ID: 6103018072 Enrollment ID: I20101011000432 |
Provider Name | Eckardt W Campos |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1932315868 PECOS PAC ID: 0547433922 Enrollment ID: I20111031000366 |
Provider Name | Fernando Antelo |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1295927887 PECOS PAC ID: 3274796800 Enrollment ID: I20120518000273 |
Provider Name | Keith Ganzon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538449368 PECOS PAC ID: 2466607320 Enrollment ID: I20130226000027 |
Provider Name | Puja Neupane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629325105 PECOS PAC ID: 9234374745 Enrollment ID: I20130403000255 |
Provider Name | Adam Quasar Sugihara |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1316172836 PECOS PAC ID: 8325332232 Enrollment ID: I20160815002275 |
Provider Name | Nathan Y Saito |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538684436 PECOS PAC ID: 8123392768 Enrollment ID: I20170921000547 |
Provider Name | Akil Simon |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1598100877 PECOS PAC ID: 6507121027 Enrollment ID: I20180601002298 |
Provider Name | Abena D Amankwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316291099 PECOS PAC ID: 0244570810 Enrollment ID: I20190318001331 |
Provider Name | Alexander F Simopoulos |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801002969 PECOS PAC ID: 2365784899 Enrollment ID: I20190501003335 |
Provider Name | Beverly Marcella Hodges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568995546 PECOS PAC ID: 5496082000 Enrollment ID: I20190805003390 |
Provider Name | Colleen Elizabeth Gatchalian |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366001802 PECOS PAC ID: 0840520037 Enrollment ID: I20191002000364 |
Provider Name | Marc Jeremy G Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912464074 PECOS PAC ID: 9032449251 Enrollment ID: I20200207002358 |
Provider Name | Jose Eduardo Araneta Salvador |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245872266 PECOS PAC ID: 6406287150 Enrollment ID: I20200512003471 |
Provider Name | Kiarash Bakhaj |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1235662255 PECOS PAC ID: 5890055420 Enrollment ID: I20200727000225 |
Provider Name | Emily Lee Ferreira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326535188 PECOS PAC ID: 1355690652 Enrollment ID: I20210115000873 |
Provider Name | George T Drugas |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558398347 PECOS PAC ID: 3971693722 Enrollment ID: I20210922002137 |
Provider Name | Karen M Soika |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1063648293 PECOS PAC ID: 3476983560 Enrollment ID: I20211019002450 |
Provider Name | Edwin E Ryan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275753790 PECOS PAC ID: 3274703939 Enrollment ID: I20220120002335 |
Provider Name | Ann Amukele |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1669623153 PECOS PAC ID: 2668866062 Enrollment ID: I20220301001476 |
Provider Name | Karen Houston |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356923080 PECOS PAC ID: 7012303688 Enrollment ID: I20220407000440 |
Provider Name | Colby Berger |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1831756105 PECOS PAC ID: 5597144626 Enrollment ID: I20220621002175 |
Provider Name | Ragu Sivarajan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902246523 PECOS PAC ID: 5991087942 Enrollment ID: I20220705001570 |
Provider Name | Lora D Yeager-smith |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811939176 PECOS PAC ID: 0648265546 Enrollment ID: I20220830003350 |
Provider Name | Rajdeep Sandhu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013473073 PECOS PAC ID: 0143604694 Enrollment ID: I20220831003612 |
Provider Name | Heather Marie Keaton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124780408 PECOS PAC ID: 6406231562 Enrollment ID: I20220910000443 |
Provider Name | Sophia Villarreal Antillon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841998341 PECOS PAC ID: 6709246358 Enrollment ID: I20230714001995 |
Provider Name | Mark Denniel Javier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134804206 PECOS PAC ID: 5092176974 Enrollment ID: I20230726000703 |
Provider Name | Christine Mata |
---|---|
Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1043772429 PECOS PAC ID: 8820448954 Enrollment ID: I20240102001026 |
Provider Name | Nitigron Piller Sitiso |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972376291 PECOS PAC ID: 5092159160 Enrollment ID: I20240216000403 |
Provider Name | Laurinda Enuyami Coker-howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891574877 PECOS PAC ID: 7315386281 Enrollment ID: I20240411004880 |
Provider Name | Sima Siddiq |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619467925 PECOS PAC ID: 7517307945 Enrollment ID: I20240501003302 |
Provider Name | William Andrew Clark |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1265888937 PECOS PAC ID: 4284975384 Enrollment ID: I20240524003098 |
Provider Name | Caralea Adrianne Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649929381 PECOS PAC ID: 8729523246 Enrollment ID: I20240709002586 |
Provider Name | Daniel Chu |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1376151498 PECOS PAC ID: 6507301793 Enrollment ID: I20240711003772 |
Provider Name | Danielle Alletag |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497203806 PECOS PAC ID: 4082996285 Enrollment ID: I20241107000902 |
Provider Name | Erica Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356162804 PECOS PAC ID: 2769916469 Enrollment ID: I20241115003941 |
Provider Name | Peter Paul Badua |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043036429 PECOS PAC ID: 1456887462 Enrollment ID: I20241212004225 |
Provider Name | Lulu Wong |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1962068106 PECOS PAC ID: 2264965631 Enrollment ID: I20241213001241 |
Provider Name | Matthew Ogbeide |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437680915 PECOS PAC ID: 4284905340 Enrollment ID: I20250228002429 |
Mailing Address | Practice Location Address |
---|---|
Wound Healing Care Specialists, Inc. 10621 Church St Ste 120, Rancho Cucamonga, CA 91730-6862 Ph: (909) 944-0486 | Wound Healing Care Specialists, Inc. 10621 Church St Ste 120, Rancho Cucamonga, CA 91730-6862 Ph: (909) 944-0486 |