Elite Wound Care Pro

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ELITE WOUND CARE PRO

Practice address

11428 Artesia Blvd Ste 26
Artesia, CA 90701-3883

Phone

(714) 600-5396

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Rosemarie Soriano, NPNPI 1477327724

Title

Provider

Phone

(714) 600-5396

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Rosemarie Soriano

  • Family Nurse Practitioner
  • Cerritos, CA
  • NPI 1477327724
  Medicare reassignment Authorized official
• Phillip Tafoya, MD

  • Specialist
  • Temecula, CA
  • NPI 1073509469
  Medicare reassignment NPD

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1548024920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11428 ARTESIA BLVD STE 26",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11428 ARTESIA BLVD STE 26",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013883",
            "telephone_number": "714-600-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOUND CARE PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "714-600-5396",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Duarte, LCSW
• Dynasty Optometric Center, Inc.
• Roy Egari, M.D.
• Khaled El Kasri, DDS
• Eleven Optical Inc (eleven optical)
• Karina Estrada, CCC-SLP
• Eugene Humphries, D.D.S., M.S.
• Michael Ray Eugenio, PT
• Candice Evins
• Eyecare Medical Corporation (Lasik Eye Center Medical Corporation)

• Family Nurse Practitioner in Artesia, CA
• Providers in Artesia, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.