Organization Active NPI

B&R Wound Care

  • Family Medicine Physician
  • Commerce, CA
National Provider Identifier
1013781350
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
B&R WOUND CARE
Practice address
5800 S Eastern Ave
Ste 500
Commerce, CA 90040-4033
Phone
(760) 694-3587
NPI assigned
Nov 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Blanca Cardenas, DNP
Title
Ceo
Phone
(760) 403-5290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5800 S Eastern Ave
Ste 500
Commerce, CA 90040-4033

Mailing address

1375 Oakpoint Ave
Chula Vista, CA 91913-2953
Phone (760) 662-8659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250522003260 CA Part B Supplier - Clinic/Group Practice 3678015328 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

1741 Eastlake Pkwy
Ste 102305
Chula Vista, CA 91915

3111 Camino del Rio N
Ste 452
San Diego, CA 92108
Phone (760) 662-8659

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1013781350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 OAKPOINT AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132953",
            "telephone_number": "760-662-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 S EASTERN AVE",
            "address_2": "STE 500",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900404033",
            "telephone_number": "760-694-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&R WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-403-5290",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.