MOBILE WOUND CARE, INC. (NPI# 1730675158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730675158 |
| Entity Type | Organization |
| Organization Name | MOBILE WOUND CARE, INC. |
| Practice Address |
1001 Avenida Pico # C488 San Clemente CA 92673-6957 |
| Practice Telephone | 9492268400 |
| Mailing Telephone | 9492268400 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | DR. MICHAEL HAGA (CEO) |
| Authorized Official Telephone | 9492268416 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
Nursing Service Providers |
| Street Address |
1001 AVENIDA PICO # C488 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-6957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809000 | Geraldine Anne Loughran-beutler | Registered Nurse | 9941 Hot Springs Dr, Huntington Beach, CA 92646 | 2018-11-09 |
| 1083126684 | Ligia Soraya Abohande | Registered Nurse | 870 Castlewood Dr Apt 4, Los Gatos, CA 95032-1335 | 2017-11-04 |
| 1508381302 | Mary Allison Redden | Registered Nurse | 1730 Alpine Blvd, Alpine, CA 91901 | 2017-08-14 |
| 1821442781 | Wound Care Partners Inc | Registered Nurse | 618 Brea Canyon Rd, Suite I, Diamond Bar, CA 91789-3022 | 2016-04-18 |
| 1356705248 | Rebecca Irvin | Registered Nurse | 911 N Keystone St, Anaheim, CA 92801-3527 | 2016-04-07 |
| 1871910216 | Margarita Sandoval | Registered Nurse | 10412 Stobaugh St, # 206, Lamont, CA 93241-1748 | 2014-03-24 |
| 1275812885 | Wound Care Consultants of California Nurse Practitioner, P.C. | Registered Nurse | 7440 Meany Ave, Suite B, Bakersfield, CA 93308-5184 | 2011-08-12 |
| 1982858411 | Joyce Ann Hurt | Registered Nurse | 9380 Eckerman Rd, Roseville, CA 95661-5911 | 2008-11-11 |
| 1023211455 | Janet Stoia Davis | Registered Nurse | 18038 Twin Lakes Dr, Riverside, CA 92508-8899 | 2007-06-05 |
| 1023131836 | Evonne Marie Kuchera | Registered Nurse | 2191 Lyndhurst Ave, Camarillo, CA 93010-2058 | 2007-04-08 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.