CC Wound Care and Consultant, Inc.

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

CC WOUND CARE AND CONSULTANT, INC.

Practice address

2821 E Spruce Ave Apt 269
Fresno, CA 93720-0389

Phone

(559) 999-3085

NPI assigned

Jan 6, 2021

Organization subpart

No

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

Authorized official

Name

Cam Alexis Castro, REGISTERED NURSE

Title

Chief Executive Officer

Phone

(559) 999-3085

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1336737303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E SPRUCE AVE APT 269",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200389",
            "telephone_number": "559-999-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E SPRUCE AVE APT 269",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200389",
            "telephone_number": "559-999-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC WOUND CARE AND CONSULTANT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "CAM",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "559-999-3085",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Rene Cazares
• Victoria Isabel Cazares
• Yamilet Cazares
• Shawn Michael Cazzell, DPM
• Cba Medical Incorporation
• Gabriela Palomo Cearbaugh, LMFT
• Juanita Ceballos Saavedra
• Destini Ceballos
• Esteban Ceballos
• Isaac Ceballos

• Registered Nurse in Fresno, CA
• Providers in Fresno, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.