Organization Active NPI

Turlock Wound Care Inc

  • Surgery Physician
  • Turlock, CA
National Provider Identifier
1164035101
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TURLOCK WOUND CARE INC
Practice address
2150 Colorado Ave
Turlock, CA 95382-2003
Phone
(209) 656-0183
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Huy Ngoc Dao, MDNPI 1689694689
Title
Owner
Phone
(209) 656-0183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

2150 Colorado Ave
Turlock, CA 95382-2003

Mailing address

2150 Colorado Ave
Turlock, CA 95382-2003
Phone (209) 656-0183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210520001142 CA Part B Supplier - Clinic/Group Practice 8325447543 Receives reassigned benefits from 4 practitioners
Practice locations: Turlock, CA

National Provider Directory

National Provider Directory

Locations

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

1065 Colorado Ave
Ste 5
Turlock, CA 95380
Phone (209) 632-2256

2150 Colorado Ave
Turlock, CA 95382
Phone (209) 656-0183

Practitioners & affiliated clinicians

Practitioners 4

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": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1164035101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822003",
            "telephone_number": "209-656-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822003",
            "telephone_number": "209-656-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURLOCK WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "HUY",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-656-0183",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.