Organization Active NPI

Imani Woundcare Services Inc

  • Family Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1801679147
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
IMANI WOUNDCARE SERVICES INC
Practice address
27555 Ynez Rd Ste 210
Temecula, CA 92591-4678
Phone
(909) 614-3039
NPI assigned
Aug 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Emma Jackson, NP
Title
Authorized Official
Phone
(909) 614-3039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

27555 Ynez Rd Ste 210
Temecula, CA 92591-4678

Mailing address

27555 Ynez Rd Ste 210
Temecula, CA 92591-4678
Phone (909) 614-3039

National Provider Directory

National Provider Directory

Locations

27555 Ynez Rd
Ste 210
Temecula, CA 92591
Phone (909) 614-3039

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1801679147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914678",
            "telephone_number": "909-614-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914678",
            "telephone_number": "909-614-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI WOUNDCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "909-614-3039",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.