Organization Active NPI

Arp Nursing Wound Solution PC

  • Primary Care Nurse Practitioner
  • Carson, CA
National Provider Identifier
1619753191
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ARP NURSING WOUND SOLUTION PC
Practice address
316 W Carson St Ste 102
Carson, CA 90745-2650
Phone
(562) 879-3879
NPI assigned
Aug 31, 2023
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Liezl SantosNPI 1316479397
Title
President/Ceo
Phone
(562) 879-3879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NU
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

316 W Carson St Ste 102
Carson, CA 90745-2650

Mailing address

316 W Carson St Ste 102
Carson, CA 90745-2650
Phone (562) 879-3879

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231229001065 CA Part B Supplier - Clinic/Group Practice 5193175321 Receives reassigned benefits from 3 practitioners
Practice locations: Downey, CA

National Provider Directory

National Provider Directory

Locations

316 W Carson St
Ste 102
Carson, CA 90745
Phone (310) 212-6648

Practitioners & affiliated clinicians

Practitioners 5

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": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1619753191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W CARSON ST STE 102",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452650",
            "telephone_number": "562-879-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W CARSON ST STE 102",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452650",
            "telephone_number": "562-879-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARP NURSING WOUND SOLUTION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LIEZL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "562-879-3879"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.