Active NPI
Advtec Woundcare Inc
- Family Medicine Physician
- San Marcos, CA
National Provider Identifier
1538964572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVTEC WOUNDCARE INC
- Practice address
- 330 Rancheros Dr Ste 258
San Marcos, CA 92069-2979 - Phone
- (949) 324-8363
- NPI assigned
- Feb 14, 2025
- Last updated
- Feb 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raquel Lacuesta
- Title
- Ceo
- Phone
- (949) 324-8363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
330 Rancheros Dr Ste 258
San Marcos, CA 92069-2979
Mailing address
330 Rancheros Dr Ste 258
San Marcos, CA 92069-2979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10324 Balboa Blvd
Ste 225B
Granada Hills, CA 91344
Phone (424) 236-3049
330 Rancheros Dr
Ste 258
San Marcos, CA 92069
Phone (949) 324-8363
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Northridge, CA
- NPI 1447916168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739491200000",
"number": "1538964572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 RANCHEROS DR STE 258",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 RANCHEROS DR STE 258",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692979",
"telephone_number": "949-324-8363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVTEC WOUNDCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A",
"authorized_official_last_name": "LACUESTA",
"authorized_official_first_name": "RAQUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-324-8363"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.