Dr Carneiro Wound Medicine Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DR CARNEIRO WOUND MEDICINE CORP

Practice address

1628 Palm Ave
San Diego, CA 92154-1027

Phone

(303) 513-8725

NPI assigned

Aug 10, 2023

Last updated

Aug 17, 2023By 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

Dr. Carmen Angelica Carneiro-Rojas, MDNPI 1649672395

Title

President

Phone

(303) 513-8725

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 16

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.

• Carmen Angelica Carneiro Rojas, M.D.

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1649672395
  Medicare reassignment NPD Authorized official
• Matthew Aaron Colton, PA-C

  • Medical Physician Assistant
  • San Diego, CA
  • NPI 1639476401
  NPD
• Matthew Douglas Dickson, D.O.

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1457388720
  NPD
• Denia Pondexter

  • Family Nurse Practitioner
  • La Mesa, CA
  • NPI 1114236064
  NPD
• Kimberly K Sheker-Dickson, D.O.

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1194755363
  NPD
• Kimberly Renee Conley, PA-C

  • Medical Physician Assistant
  • San Diego, CA
  • NPI 1659670198
  NPD (past)
• Jackie Luu

  • Physician Assistant
  • La Jolla, CA
  • NPI 1689103749
  NPD (past)
• Jennifer A Montgomery, PA-C

  • Physician Assistant
  • San Marcos, CA
  • NPI 1568658698
  NPD (past)
• Isaac Ortega Endahl, P.A.-C.

  • Physician Assistant
  • San Diego, CA
  • NPI 1033514500
  NPD (past)
• Megan Ciera Rodriguez, PA-C

  • Physician Assistant
  • Brawley, CA
  • NPI 1417330952
  NPD (past)
• Emily Louise Simm, PA-C

  • Physician Assistant
  • Ventura, CA
  • NPI 1528458684
  NPD (past)
• Nicole Renee Traina, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1841772944
  NPD (past)

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1942983473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 OTAY LAKES RD STE 502-340",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151004",
            "telephone_number": "303-513-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 PALM AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541027",
            "telephone_number": "303-513-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARNEIRO WOUND MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "CARNEIRO-ROJAS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "ANGELICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-513-8725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Harris Dozier
• Paula A Dozzi, MD
• Dr a Shamani Inc
• Dr Ana Laura Arteaga-Biggs Licensed Clinical Psychologist, PC
• Dr Brittney France Marriage & Family Therapist Inc
• Dr Catherine J Ward PSYD (Dr. Catherine Ward)
• Dr Catherine J Ward PSYD (West Coast Neuropsychology)
• Dr Cook Reeder & Assocs (Carmel Mountain Vision Care)
• Dr Dori's Marriage and Family Therapy
• Dr Drennan's Advanced Wellness

• Primary Care Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.