Organization Active NPI

Skin Guard Cali Corp

  • Wound Care Registered Nurse
  • Loma Linda, CA
National Provider Identifier
1740095157
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
SKIN GUARD CALI CORP
Practice address
24813 Tulip Ave
Loma Linda, CA 92354-3405
Phone
(951) 229-8408
NPI assigned
Feb 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mr. Ernest Dalusong
Title
Ceo
Phone
(951) 229-8408

Specialties & licenses 1

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

Addresses

Primary practice location

24813 Tulip Ave
Loma Linda, CA 92354-3405

Mailing address

24813 Tulip Ave
Loma Linda, CA 92354-3405
Phone (951) 229-8408

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1740095157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24813 TULIP AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543405",
            "telephone_number": "951-229-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24813 TULIP AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543405",
            "telephone_number": "951-229-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN GUARD CALI CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "DALUSONG",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-229-8408",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.