NPIMap

Organization Active NPI

Wound Docs Apc

Doing business as Wound Docs

  • Surgery Physician
  • Aliso Viejo, CA
National Provider Identifier
1629891676
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WOUND DOCS APC
Doing business as
Wound Docs
Practice address
27141 Aliso Creek Rd Ste 235
Aliso Viejo, CA 92656-3360
Phone
(562) 800-3321
NPI assigned
Nov 6, 2024
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Kevin Jackson, PANPI 1326498361
Title
Ceo
Phone
(610) 505-9702

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
Internal Medicine Physician 207R00000X NU
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

27141 Aliso Creek Rd Ste 235
Aliso Viejo, CA 92656-3360

Mailing address

27141 Aliso Creek Rd Ste 235
Aliso Viejo, CA 92656-3360

Other names 1

  • Wound Docs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241204001651 CA Part B Supplier - Clinic/Group Practice 2860928629 Receives reassigned benefits from 35 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

27141 Aliso Creek Rd
Ste 235
Aliso Viejo, CA 92656
Phone (562) 800-3321

1703 Termino Ave
Ste 106
Long Beach, CA 90804
Phone (310) 552-0146

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1629891676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 ALISO CREEK RD STE 235",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 ALISO CREEK RD STE 235",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563360",
            "telephone_number": "562-800-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND DOCS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-505-9702",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Docs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.