Organization Active NPI

Nextgen Wound Care Solutions Pacific

  • General Practice Physician
  • Mather, CA
National Provider Identifier
1780515270
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NEXTGEN WOUND CARE SOLUTIONS PACIFIC
Practice address
10901 Woolwich Way
Mather, CA 95655-3007
Phone
(279) 275-7050
NPI assigned
May 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Alyssa Johnston, FNP
Title
Coo
Phone
(279) 275-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10901 Woolwich Way
Mather, CA 95655-3007

Mailing address

10901 Woolwich Way
Mather, CA 95655-3007
Phone (279) 275-7050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1780515270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 WOOLWICH WAY",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956553007",
            "telephone_number": "279-275-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 WOOLWICH WAY",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956553007",
            "telephone_number": "279-275-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN WOUND CARE SOLUTIONS PACIFIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "279-275-7050",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mather, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.