Organization Active NPI

Advanced Wound Care Consultants, Inc

  • Wound Care Registered Nurse
  • Citrus Heights, CA
National Provider Identifier
1710470497
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
805034 Issued in CA
Legal business name
ADVANCED WOUND CARE CONSULTANTS, INC
Practice address
7807 Uplands Way
Citrus Heights, CA 95610-7500
Phone
(414) 750-5373
Fax
(530) 777-3472
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Kulbir Dhillon, NP
Title
Provider
Phone
(530) 713-4306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X 805034 CA Primary

Addresses

Primary practice location

7807 Uplands Way
Citrus Heights, CA 95610-7500

Mailing address

124 Clay Isle CT
Roseville, CA 95747-7183
Phone (414) 750-5373

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1710470497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CLAY ISLE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477183",
            "telephone_number": "414-750-5373",
            "fax_number": "530-777-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 UPLANDS WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107500",
            "telephone_number": "414-750-5373",
            "fax_number": "530-777-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND CARE CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "KULBIR",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "530-713-4306",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "805034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.