NPIMap

Organization Active NPI

Rancho Wound Care Center, PC

Doing business as Rancho Wound Care and Podiatry Center

  • Surgery Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1396548236
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
RANCHO WOUND CARE CENTER, PC
Doing business as
Rancho Wound Care and Podiatry Center
Practice address
11343 Base Line Rd
Rancho Cucamonga, CA 91730-7273
Phone
(909) 944-0486
Fax
(909) 944-3161
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Pete Carrasco Jr., DPMNPI 1073573127
Title
Owner
Phone
(909) 944-0486

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X

Addresses

Primary practice location

11343 Base Line Rd
Rancho Cucamonga, CA 91730-7273

Mailing address

25044 Peachland Ave Ste 110
Newhall, CA 91321-5730
Phone (909) 944-0486

Other names 2

  • Rancho Wound Care and Podiatry Center Doing business as
  • Wound Healing Care Center, PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250522002983 CA Part B Supplier - Clinic/Group Practice 1759800717 Receives reassigned benefits from 22 practitioners
Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

11343 Base Line Rd
Rch Cucamonga, CA 91730

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1396548236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25044 PEACHLAND AVE STE 110",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215730",
            "telephone_number": "909-944-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11343 BASE LINE RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307273",
            "telephone_number": "909-944-0486",
            "fax_number": "909-944-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO WOUND CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-944-0486",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Wound Care and Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wound Healing Care Center, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.