Organization
Advanced Practice Wound Care and Psyche Specialist
Provider's NPPES record last updated: May 7, 2024
Overview
- Entity Type
- Organization
- NPI
- 1063260073
- Primary Specialty
- Registered Nurse — Wound Care
- Practice Location
- Rancho Cucamonga, California
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:55 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Registered Nurse
Wound Care
Nursing Service Providers
Definition to come...
Taxonomy code 163WW0000X Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000XNurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X
Practice Locations
Practice Location
10970 Arrow Route
#214
Rancho Cucamonga, California 91730
Phone: (626) 347-8548
Record Information
- Enumeration Date
- May 7, 2024
- Provider's NPPES Record Last Updated
- May 7, 2024
- Certification Date
- April 30, 2024
- NPISignal NPPES Dataset
- August 2026
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