NPIMap

Organization Active NPI

Wound Care 360 Advanced Solutions Inc

  • General Practice Physician
  • Encinitas, CA
National Provider Identifier
1942012539
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WOUND CARE 360 ADVANCED SOLUTIONS INC
Practice address
196 Coral Cove Way
Encinitas, CA 92024-1593
Phone
(760) 286-7826
Fax
(909) 697-4013
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Hugo Spinoza II
Title
Owner
Phone
(817) 776-1670

Specialties & licenses 1

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

Addresses

Primary practice location

196 Coral Cove Way
Encinitas, CA 92024-1593

Mailing address

196 Coral Cove Way
Encinitas, CA 92024-1593
Phone (760) 286-7826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250204000761 CA Part B Supplier - Clinic/Group Practice 2769912906 Receives reassigned benefits from 12 practitioners
Practice locations: Ontario, CA

National Provider Directory

National Provider Directory

Locations

2980 Inland Empire Blvd
Unit 102
Ontario, CA 91764
Phone (760) 286-7826

2980 Inland Empire Blvd
Unit 201
Ontario, CA 91764

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1942012539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CORAL COVE WAY",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241593",
            "telephone_number": "760-286-7826",
            "fax_number": "909-697-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CORAL COVE WAY",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241593",
            "telephone_number": "760-286-7826",
            "fax_number": "909-697-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE 360 ADVANCED SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "SPINOZA",
        "authorized_official_first_name": "HUGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-776-1670",
        "authorized_official_name_suffix": "II"
    },
    "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 Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.