Organization Active NPI

Wound Guard Inc

  • Wound Care Registered Nurse
  • Temecula, CA
National Provider Identifier
1417767419
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
WOUND GUARD INC
Practice address
32173 Fireside Dr
Temecula, CA 92592-5154
Phone
(800) 729-7928
Fax
(909) 729-0323
NPI assigned
Jan 10, 2025
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Ivan Aguilera
Title
Medical Director
Phone
(909) 518-5985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NU Primary

Addresses

Primary practice location

32173 Fireside Dr
Temecula, CA 92592-5154

Mailing address

PO Box 12632
Scottsdale, AZ 85267-2632
Phone (800) 729-7928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250122000301 CA Part B Supplier - Clinic/Group Practice 3870022742 Receives reassigned benefits from 6 practitioners
Practice locations: Temecula, CA

National Provider Directory

National Provider Directory

Locations

1485 University Ave
Ste B
Riverside, CA 92507
Phone (626) 298-0707

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": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1417767419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12632",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852672632",
            "telephone_number": "800-729-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32173 FIRESIDE DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925154",
            "telephone_number": "800-729-7928",
            "fax_number": "909-729-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND GUARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "AGUILERA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-518-5985"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.