Organization Active NPI

Wound Healing Recovery Corporation

  • Wound Care Registered Nurse
  • San Bernardino, CA
National Provider Identifier
1114885522
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
WOUND HEALING RECOVERY CORPORATION
Practice address
225 W Hospitality LN Ste 303
San Bernardino, CA 92408-3221
Phone
(562) 780-1669
NPI assigned
Jan 13, 2026
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Raya Tablang, MD
Title
Owner
Phone
(562) 780-1669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X Primary
Spinal Cord Injury Medicine Physician 2081P0004X

Addresses

Primary practice location

225 W Hospitality LN Ste 303
San Bernardino, CA 92408-3221

Mailing address

225 W Hospitality LN Ste 303
San Bernardino, CA 92408-3221

National Provider Directory

National Provider Directory

Locations

225 W Hospitality Ln
Ste 303
San Bernardino, CA 92408
Phone (562) 780-1669

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1114885522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W HOSPITALITY LN STE 303",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W HOSPITALITY LN STE 303",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083221",
            "telephone_number": "562-780-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND HEALING RECOVERY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "TABLANG",
        "authorized_official_first_name": "RAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-780-1669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.