Wound Rescue Specialist

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WOUND RESCUE SPECIALIST

Practice address

275 W Hospitality LN Ste 317
San Bernardino, CA 92408-3265

Phone

(909) 763-3363

Fax

(909) 769-0109

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Behroz Hamkar, MD

Title

Owner

Phone

(909) 763-3363

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

Enrollment records 2

Locations

Practitioners 11

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

• Elmer Fortin Abreu

  • Family Nurse Practitioner
  • Norwalk, CA
  • NPI 1114567898
  Medicare reassignment NPD
• Jenelyn Almonte, NP-C

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1194211151
  Medicare reassignment NPD
• Frenalyn Bacate Domingo, NP

  • Nurse Practitioner
  • Grand Terrace, CA
  • NPI 1588685226
  Medicare reassignment NPD
• Jovelyn Urdaneta Galo, AGNP

  • Gerontology Nurse Practitioner
  • Riverside, CA
  • NPI 1821830761
  Medicare reassignment NPD
• Soledad O Lee, MD

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1063609097
  Medicare reassignment NPD
• Kathleen Bernice Mahony, F.N.P

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1023124294
  Medicare reassignment NPD
• Charming Sana Mendoza, NP

  • Adult Health Nurse Practitioner
  • Victorville, CA
  • NPI 1891411997

  Multi-Specialty

  Medicare reassignment NPD
• Catherine Domingo Oms, RN, PAC

  • Medical Physician Assistant
  • San Bernardino, CA
  • NPI 1982880795
  Medicare reassignment NPD
• Ann Marielle Reyes Reyes, NP

  • Nurse Practitioner
  • Cerritos, CA
  • NPI 1790520765
  Medicare reassignment NPD
• Nilo De Castro Reyes

  • Family Nurse Practitioner
  • Bellflower, CA
  • NPI 1770117020
  Medicare reassignment NPD
• Regina Centeno

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1770358236
  Medicare reassignment NPD

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1295583250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 317",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083265",
            "telephone_number": "909-763-3363",
            "fax_number": "909-769-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 317",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083265",
            "telephone_number": "909-763-3363",
            "fax_number": "909-769-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND RESCUE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "HAMKAR",
        "authorized_official_first_name": "BEHROZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-763-3363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleaya Woods
• Kyle Woods
• Woodward Leadership Academy
• McKena Woodward
• Wound Healing Recovery Corporation
• Morgan Astin Wray
• Chela Fontaine Wright, MD
• Richard Charles Wright, AMFT
• Jeng Ren Wu, M.D.
• Lashawnda M Wyatt

• Family Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.