Harbor Wound Care P.C. - Medicare Primary Care in Banning, CA

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Harbor Wound Care P.C. is a medicare enrolled primary clinic (General Practice) in Banning, California. The current practice location for Harbor Wound Care P.C. is 1424 Hummingbird Way, Banning, California. For appointments, you can reach them via phone at (626) 250-4912. The mailing address for Harbor Wound Care P.C. is 1424 Hummingbird Way, Banning, California and phone number is (626) 250-4912.

Harbor Wound Care P.C. is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1427922392. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (626) 250-4912.

Contact Information

Harbor Wound Care P.C.
1424 Hummingbird Way
Banning
CA 92220-7206
(626) 250-4912
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameHarbor Wound Care P.C.
SpecialityGeneral Practice
Location1424 Hummingbird Way, Banning, California
Authorized Official Name and PositionAnousheh Ashouri (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact8184801418
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Harbor Wound Care P.C.
1424 Hummingbird Way
Banning
CA 92220-7206

Ph: (626) 250-4912		Harbor Wound Care P.C.
1424 Hummingbird Way
Banning
CA 92220-7206

Ph: (626) 250-4912

NPI Details:

NPI Number1427922392
Provider Enumeration Date10/02/2025
Last Update Date10/02/2025
Certification Date10/02/2025

Medicare PECOS Information:

Medicare PECOS PAC ID0042704504
Medicare Enrollment IDO20251211001582

Medical Identifiers

Medical identifiers for Harbor Wound Care P.C. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427922392NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Harbor Wound Care P.C. acts as a billing entity for following providers:
Provider NameAnousheh N Ashouri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336305036
PECOS PAC ID: 3274769898
Enrollment ID: I20131203001714
Provider NameAlvin M Topacio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609200898
PECOS PAC ID: 3375772536
Enrollment ID: I20140210001397
Provider NameAldrin Geronga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285062257
PECOS PAC ID: 2466685854
Enrollment ID: I20140509001666
Provider NameJagmohan Ghotra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689032815
PECOS PAC ID: 8325334741
Enrollment ID: I20160912001816
Provider NameQueenie Thuy Pham
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1184204067
PECOS PAC ID: 9830582535
Enrollment ID: I20220201002003
Provider NameDemijon Lingad Dicen
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1528726429
PECOS PAC ID: 7517336597
Enrollment ID: I20221214000844
Provider NameCarly Ann Millan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831808922
PECOS PAC ID: 5092185959
Enrollment ID: I20230110002805
Provider NameGeorge Patrick Galano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265151120
PECOS PAC ID: 6103290986
Enrollment ID: I20230317000696
Provider NameCristalee Wijangco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699473157
PECOS PAC ID: 6406260132
Enrollment ID: I20230328000641
Provider NameNicole Yvette Castillo
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1245934967
PECOS PAC ID: 6406218312
Enrollment ID: I20230809002200
Provider NameMark Ross Silverio Mendoza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023893294
PECOS PAC ID: 1850745985
Enrollment ID: I20230922003761
Provider NameTamara S Pippin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508569567
PECOS PAC ID: 8628422532
Enrollment ID: I20231012000085
Provider NameEmer Gaite
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750904066
PECOS PAC ID: 2163871633
Enrollment ID: I20231228003724
Provider NameCatherine Lopez Arrogante
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477318558
PECOS PAC ID: 0446697908
Enrollment ID: I20240320002664
Provider NameGurinder S Grewal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558086215
PECOS PAC ID: 0648618132
Enrollment ID: I20250122001513
Provider NameMandeep Kaur Jaggi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609698091
PECOS PAC ID: 4486183803
Enrollment ID: I20250129002311
Provider NameAngel P Pabalan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457164238
PECOS PAC ID: 2860913647
Enrollment ID: I20250310001793
Provider NameLackson Msoba Kaunda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215716915
PECOS PAC ID: 5698112266
Enrollment ID: I20250311000837
Provider NameShella Maples
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861274771
PECOS PAC ID: 3476072075
Enrollment ID: I20250528000408
Provider NameJoanna Ibanez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205629755
PECOS PAC ID: 0446764310
Enrollment ID: I20250710003435
Provider NameDaisy Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619863669
PECOS PAC ID: 3971004722
Enrollment ID: I20250902003173
Provider NameAnn Mari Aquino Dealdo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063303279
PECOS PAC ID: 2365934254
Enrollment ID: I20251128000710
Provider NameIrish Shane Tapiceria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417844127
PECOS PAC ID: 4587158936
Enrollment ID: I20251212000427
Provider NameFlora May Bugo Marion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336989466
PECOS PAC ID: 8123502747
Enrollment ID: I20260323000429
Provider NameHarpreet Singh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285328351
PECOS PAC ID: 9830674159
Enrollment ID: I20260403000779
Provider NameAminah Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790677912
PECOS PAC ID: 7012483373
Enrollment ID: I20260415002234
Provider NameIrina Gordon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104410885
PECOS PAC ID: 7719453638
Enrollment ID: I20260417003099
Provider NameKeri Chang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750247557
PECOS PAC ID: 2961979273
Enrollment ID: I20260423002460

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.