Organization Active NPI

New Hope Wound Care Specialists

  • Internal Medicine Physician
  • Visalia, CA
National Provider Identifier
1982337689
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEW HOPE WOUND CARE SPECIALISTS
Practice address
2503 S Tommy CT
Visalia, CA 93277-8624
Phone
(559) 308-1863
Fax
(559) 713-6657
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Richard Green
Title
Owner
Phone
(559) 308-1863

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0600X
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2503 S Tommy CT
Visalia, CA 93277-8624

Mailing address

2503 S Tommy CT
Visalia, CA 93277-8624
Phone (559) 308-1863

Other practice location 1

2503 S Tommy Ct
Visalia, CA 93277-8624
Phone (559) 308-1863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220914003650 CA Part B Supplier - Clinic/Group Practice 4789069584 Receives reassigned benefits from 3 practitioners
Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1982337689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 S TOMMY CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778624",
            "telephone_number": "559-308-1863",
            "fax_number": "559-713-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S TOMMY CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778624",
            "telephone_number": "559-308-1863",
            "fax_number": "559-713-6657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 S Tommy Ct",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932778624",
            "country_code": "US",
            "telephone_number": "559-308-1863",
            "fax_number": "559-713-6657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW HOPE WOUND CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-308-1863"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infection Control",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.