Elite Wound Care Services Inc

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

95006463 Issued in CA

Legal business name

ELITE WOUND CARE SERVICES INC

Doing business as

Elite Wound Care Services Inc

Practice address

1658 W Avenue J
Lancaster, CA 93534-2814

Phone

(661) 471-9559

Fax

(661) 438-1743

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Sonia Madrigal, NP

Title

Owner

Phone

(661) 733-2958

Specialties & licenses 1

Addresses

Other names 1

• Elite Wound Care Services Inc Doing business as

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1447743950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-471-9559",
            "fax_number": "661-438-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-471-9559",
            "fax_number": "661-438-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOUND CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-733-2958",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "95006463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Wound Care Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wound Care Registered Nurse in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Wound Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.