REGENERATIVE WOUND SOLUTIONS A PROFESSIONAL CORPORATION
NPI 1225902349
Internal Medicine in La Habra, CA

Active since October 01, 2025
2208 W WHITTIER BLVD STE C, LA HABRA, CA 90631(562) 329-8647 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Regenerative Wound Solutions A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGENERATIVE WOUND SOLUTIONS A PROFESSIONAL CORPORATION (NPI 1225902349) is a healthcare organization registered as an internal medicine in La Habra, California and active in the NPI registry since October 2025. The organization lists Keith Carrillo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225902349
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREGENERATIVE WOUND SOLUTIONS A PROFESSIONAL CORPORATION
Location Address2208 W WHITTIER BLVD STE CLa Habra, CA 90631-3403
Mailing Address2208 W Whittier Blvd Ste CLa Habra, CA 90631-3403 · (562) 329-8647
Organization SubpartNo
Authorized OfficialKeith CarrilloCeo · (562) 652-0923
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1225902349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2208 W WHITTIER BLVD STE C, La Habra, CA 90631

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regenerative Wound Solutions A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Regenerative Wound Solutions A Professional Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1831636083
7955 WESTMINSTER BLVD
Westminster, CA 92683
(714) 379-3221
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1265098784
920 N LONG BEACH BLVD # 2259
Compton, CA 90221
(323) 732-0100
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1063001444
450 BAUCHET ST
Los Angeles, CA 90012
(213) 473-2907
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1578184966
450 BAUCHET ST FL 8
Los Angeles, CA 90012
(213) 972-2213
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regenerative Wound Solutions A Professional Corporation's NPI number?

The NPI number for Regenerative Wound Solutions A Professional Corporation is 1225902349. It was assigned to this organization in the NPPES registry on October 1, 2025.

Where is Regenerative Wound Solutions A Professional Corporation located?

Regenerative Wound Solutions A Professional Corporation is located at 2208 W Whittier Blvd Ste C, La Habra, CA 90631. The listed phone number is (562) 329-8647.

What is Regenerative Wound Solutions A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Regenerative Wound Solutions A Professional Corporation enrolled in Medicare?

Yes. Regenerative Wound Solutions A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regenerative Wound Solutions A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Regenerative Wound Solutions A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Regenerative Wound Solutions A Professional Corporation was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.