Temecula Valley Advanced Wound Care, Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

TEMECULA VALLEY ADVANCED WOUND CARE, MEDICAL CORPORATION

Practice address

27555 Ynez Rd Ste 400
Temecula, CA 92591-4679

Phone

(951) 466-6764

NPI assigned

Jun 8, 2020

Last updated

Jun 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Paul Carrillo, MDNPI 1831149749

Title

President

Phone

(619) 995-3273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Robert Paul Carrillo, MD

  • Surgery Physician
  • Escondido, CA
  • NPI 1831149749
  Authorized official Same address or phone

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1396360152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 MEADOW GLEN WAY E",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920267008",
            "telephone_number": "619-995-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 400",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914679",
            "telephone_number": "951-466-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA VALLEY ADVANCED WOUND CARE, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-995-3273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1831149749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Temecula Medical Corporation
• Temecula Medical Group Inc
• Temecula Mental Health
• Temecula Neurofeedback LLC
• Temecula Para Transport
• Temecula Valley Anesthesia Partners, Inc
• Temecula Valley Cardiology Medical Group, Inc.
• Temecula Valley Emergency Medical Associates, Inc
• Temecula Valley Emergency Physicians, Inc (Temecula Valley Emergency Physicians)
• Temecula Valley Family Physicians Inc.

• Medical Specialty Clinic/Center in Temecula, CA
• Providers in Temecula, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.