| Alpha Wound Solutions P.C. | |
|
275 W Hospitality Ln Ste 310 San Bernardino CA 92408-3265 | |
| (951) 229-8408 | |
| Not Available |
| Full Name | Alpha Wound Solutions P.C. |
|---|---|
| Speciality | General Practice |
| Location | 275 W Hospitality Ln Ste 310, San Bernardino, California |
| Authorized Official Name and Position | Anousheh Ashouri (PRESIDENT) |
| Authorized Official Contact | 8184801418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Wound Solutions P.C. 275 W Hospitality Ln Ste 310 San Bernardino CA 92408-3265 | Alpha Wound Solutions P.C. 275 W Hospitality Ln Ste 310 San Bernardino CA 92408-3265 Ph: (951) 229-8408 |
| NPI Number | 1861361529 |
|---|---|
| Provider Enumeration Date | 10/31/2025 |
| Last Update Date | 10/31/2025 |
| Certification Date | 10/31/2025 |
| Medicare PECOS PAC ID | 3375037443 |
|---|---|
| Medicare Enrollment ID | O20251216002218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861361529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Anousheh N Ashouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336305036 PECOS PAC ID: 3274769898 Enrollment ID: I20131203001714 |
| Provider Name | Cristalee Wijangco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699473157 PECOS PAC ID: 6406260132 Enrollment ID: I20230328000641 |
| Provider Name | Karissa Enojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659150613 PECOS PAC ID: 2264880129 Enrollment ID: I20231204000258 |
| Provider Name | Lerma Maloma Dacasin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295566099 PECOS PAC ID: 1850829425 Enrollment ID: I20250109002798 |
| Provider Name | Joanna Ibanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205629755 PECOS PAC ID: 0446764310 Enrollment ID: I20250710003435 |
| Provider Name | Kayla Nicole Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679466445 PECOS PAC ID: 5496242695 Enrollment ID: I20251013001726 |
| Provider Name | Irish Shane Tapiceria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417844127 PECOS PAC ID: 4587158936 Enrollment ID: I20251212000427 |
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