Organization Active NPI

Exceptional Wound Care

  • Wound Care Registered Nurse
  • Upland, CA
National Provider Identifier
1982582276
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
EXCEPTIONAL WOUND CARE
Practice address
818 N Mountain Ave Ste 203H
Upland, CA 91786-4167
Phone
(840) 208-6474
NPI assigned
Aug 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Dr. Peter J Niciforos, MD
Title
Ceo
Phone
(323) 423-5519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

818 N Mountain Ave Ste 203H
Upland, CA 91786-4167

Mailing address

818 N Mountain Ave Ste 203H
Upland, CA 91786-4167
Phone (840) 208-6474

National Provider Directory

National Provider Directory

Locations

818 N Mountain Ave
#203H
Upland, CA 91786
Phone (840) 276-0518

818 N Mountain Ave
Ste 203H
Upland, CA 91786
Phone (840) 208-6474

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1982582276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE STE 203H",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864167",
            "telephone_number": "840-208-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE STE 203H",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864167",
            "telephone_number": "840-208-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "NICIFOROS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-423-5519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.