NPIMap

Organization Active NPI

Advance Nursing Practice Medical Group Inc

Doing business as Advance Wound Care

  • Wound Care Registered Nurse
  • Modesto, CA
National Provider Identifier
1871300301
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
ADVANCE NURSING PRACTICE MEDICAL GROUP INC
Doing business as
Advance Wound Care
Practice address
809 Sylvan Ave Ste 400
Modesto, CA 95350-1500
Phone
(209) 567-2576
Fax
(209) 567-2591
NPI assigned
Dec 17, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCE NURSING PRACTICE MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Joselyn Arandia Deculing, FNP
Title
President/Ceo
Phone
(209) 531-8650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NU Primary

Addresses

Primary practice location

809 Sylvan Ave Ste 400
Modesto, CA 95350-1500

Mailing address

600 Walnut Woods CT
Modesto, CA 95356-9656
Phone (209) 567-2576

Other names 1

  • ADVANCE WOUND CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advance Nursing Practice Medical Group Inc3 organizations share this tax ID, including this one
Part of
Advance Nursing Practice Medical Group Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1871300301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WALNUT WOODS CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569656",
            "telephone_number": "209-567-2576",
            "fax_number": "209-567-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SYLVAN AVE STE 400",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501500",
            "telephone_number": "209-567-2576",
            "fax_number": "209-567-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE NURSING PRACTICE MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCE NURSING PRACTICE MEDICAL GROUP INC",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "DECULING",
        "authorized_official_first_name": "JOSELYN",
        "authorized_official_middle_name": "ARANDIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "209-531-8650",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCE WOUND CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.