West Coast Wound Care Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WEST COAST WOUND CARE INC

Practice address

19700 Hesperian Blvd
Hayward, CA 94541-4704

Phone

(914) 237-6797

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Craig Bunker

Title

Director of Operations

Phone

(914) 237-6797

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1083665319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 MCLEAN AVE",
            "address_2": "SUITE 387",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044107",
            "telephone_number": "914-237-6797",
            "fax_number": "914-237-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19700 HESPERIAN BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414704",
            "telephone_number": "914-237-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "BUNKER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "914-237-6797"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512081",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337306",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Wendland
• Laura Josephine Wesely, MSW
• Neomi Wesley
• Paul T. Wesley, MD
• West Coast Hearing LLC (Miracle Ear)
• Antonia West
• Marques A West
• Western Dental Services, Inc.
• Western Laboratories (Western Laboratory Medical Group)
• Bradley Murdock Wharton

• Specialist in Hayward, CA
• Providers in Hayward, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.