Active NPI
Nextgen Wound Care Solutions Pacific
- General Practice Physician
- Mather, CA
National Provider Identifier
1780515270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryNPI 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.