Organization Active NPI

Advanced Wound and Surgical Management

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Bakersfield, CA
National Provider Identifier
1669603296
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
A63639 Issued in CA
Legal business name
ADVANCED WOUND AND SURGICAL MANAGEMENT
Practice address
2901 Sillect Ave
Suite 201
Bakersfield, CA 93308-6371
Phone
(661) 327-2101
Fax
(661) 327-2554
NPI assigned
Jul 30, 2009
Organization subpart
Yes
Parent organization
ADVANCED WOUND AND SURGICAL MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Mr. Vipul Raman Dev, MDNPI 1891702122
Title
Ceo
Phone
(661) 327-2101

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X A63639 CA Primary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X
Multi-Specialty Clinic/Center 261QM1300X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2901 Sillect Ave
Suite 201
Bakersfield, CA 93308-6371

Mailing address

2901 Sillect Ave
Suite 201
Bakersfield, CA 93308-6371
Phone (661) 327-2101

National Provider Directory

National Provider Directory
Part of
Advanced Wound and Surgical

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1669603296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE",
            "address_2": "SUITE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086371",
            "telephone_number": "661-327-2101",
            "fax_number": "661-327-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE",
            "address_2": "SUITE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086371",
            "telephone_number": "661-327-2101",
            "fax_number": "661-327-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND AND SURGICAL MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED WOUND AND SURGICAL MANAGEMENT",
        "enumeration_date": "2009-07-30",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "DEV",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "RAMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-327-2101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "A63639",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.