Organization Active NPI

Alertive Wound Care Specialists Professional Corp

  • Specialist
  • Fullerton, CA
National Provider Identifier
1306733050
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALERTIVE WOUND CARE SPECIALISTS PROFESSIONAL CORP
Practice address
234 E Commonwealth Ave Ste 200
Fullerton, CA 92832-1911
Phone
(530) 385-8602
Fax
(800) 650-9223
NPI assigned
Jun 23, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Sivaraman K Gounder, MD
Title
President
Phone
(714) 739-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

234 E Commonwealth Ave Ste 200
Fullerton, CA 92832-1911

Mailing address

234 E Commonwealth Ave Ste 200
Fullerton, CA 92832-1911
Phone (530) 385-8602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250828005061 CA Part B Supplier - Clinic/Group Practice 5395246714 Receives reassigned benefits from 8 practitioners
Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory

Locations

234 E Commonwealth Ave
Fl 2
Fullerton, CA 92832
Phone (480) 942-0460

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1306733050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E COMMONWEALTH AVE STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321911",
            "telephone_number": "530-385-8602",
            "fax_number": "800-650-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E COMMONWEALTH AVE STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321911",
            "telephone_number": "530-385-8602",
            "fax_number": "800-650-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALERTIVE WOUND CARE SPECIALISTS PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "GOUNDER",
        "authorized_official_first_name": "SIVARAMAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-739-5959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.