Active NPI
Advanced Wound Care Consultants, Inc
- Wound Care Registered Nurse
- Citrus Heights, CA
National Provider Identifier
1710470497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 805034
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 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 DirectoryNPI 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.