Advanced Wound Care Specialists

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ADVANCED WOUND CARE SPECIALISTS

Practice address

10970 Arrow Route
206
Rancho Cucamonga, CA 91730-4839

Phone

(909) 989-7700

Fax

(909) 657-1050

NPI assigned

May 12, 2025

Last updated

Sep 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret E Aiyetiwa

Title

Ceo

Phone

(909) 989-7700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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.

• Babajide Adetokunbo Fajemisin, PA-C

  • Physician Assistant
  • Hesperia, CA
  • NPI 1700119567
  Medicare reassignment NPD
• Venkata S.R. Pulakanti, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1356521843
  Medicare reassignment NPD
• Abdel Karim Ahmad

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1124644752
  NPD (past)

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1942090097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10970 ARROW RTE STE 206",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304839",
            "telephone_number": "909-989-7700",
            "fax_number": "909-657-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 ARROW ROUTE",
            "address_2": "206",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304839",
            "telephone_number": "909-989-7700",
            "fax_number": "909-657-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "AIYETIWA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-989-7700"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrimar Practice Licensed Clinical Social Worker PC (Claramente Behavioral Health)
• Advanced Bell Hearing Aid Center
• Advanced Practice Wound Care and Psyche Specialist
• Advanced Practitioner Medical Group - a Professional Nursing Corp (Advanced Practitioner Medical Group)
• Advanced Psychological Associates & Wellness Center PC
• Advantage Healthcare Services LLC (Cucamonga Community Pharmacy)
• Ana Carolina Afane
• Affinity Health Group
• Affrunti Kunihira Dental Partnership (Town Center Periodontal and Implant Specialists)
• Afh Enterprise (DBA: DK HomeCare Pharmacy)

• Family Nurse Practitioner in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Nurse Practitioner in California

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