Alpha Wound Care

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

ALPHA WOUND CARE

Practice address

1420 E Cooley Dr Ste 200F
Colton, CA 92324-3951

Phone

(909) 855-7643

NPI assigned

Jan 15, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Kelsey De Vera

Title

Ceo

Phone

(909) 855-7643

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1669283172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E COOLEY DR STE 200F",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243951",
            "telephone_number": "909-215-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E COOLEY DR STE 200F",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243951",
            "telephone_number": "909-855-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "DE VERA",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-855-7643",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wound Care Registered Nurse in Colton, CA
• Providers in Colton, CA by specialty
• Wound Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.