Organization Active NPI

Prime Wound Solutions Inc

  • Internal Medicine Physician
  • Colton, CA
National Provider Identifier
1578441242
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIME WOUND SOLUTIONS INC
Practice address
1421 E Cooley Dr Ste 9
Colton, CA 92324-3979
Phone
(909) 377-1171
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Jemar Linsangan
Title
Owner
Phone
(909) 377-1171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

1421 E Cooley Dr Ste 9
Colton, CA 92324-3979

Mailing address

1421 E Cooley Dr Ste 9
Colton, CA 92324-3979

National Provider Directory

National Provider Directory

Locations

1421 E Cooley Dr
Ste 9
Colton, CA 92324
Phone (909) 377-1171

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1578441242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E COOLEY DR STE 9",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E COOLEY DR STE 9",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243979",
            "telephone_number": "909-377-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME WOUND SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "LINSANGAN",
        "authorized_official_first_name": "JEMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-377-1171"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.