Active NPI
First Class Wound Care Corp
- Internal Medicine Physician
- Cerritos, CA
National Provider Identifier
1285476408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FIRST CLASS WOUND CARE CORP
- Practice address
- 10900 183Rd St Ste 171-Q
Cerritos, CA 90703-5342 - Phone
- (562) 319-5032
- NPI assigned
- Jun 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cydney Purificacion
- Title
- Physician
- Phone
- (714) 726-7774
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
10900 183Rd St Ste 171-Q
Cerritos, CA 90703-5342
Mailing address
10900 183Rd St Ste 171-Q
Cerritos, CA 90703-5342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10900 183rd St
Ste 171Q
Cerritos, CA 90703
Phone (562) 319-5032
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
- NPI 1750958419
-
- Family Nurse Practitioner
- Corona, CA
- NPI 1245027267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1285476408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 183RD ST STE 171-Q",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907035342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 183RD ST STE 171-Q",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907035342",
"telephone_number": "562-319-5032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CLASS WOUND CARE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-10",
"last_updated": "2024-07-23",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "PURIFICACION",
"authorized_official_first_name": "CYDNEY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "714-726-7774",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.