PACIFIC WOUND CENTER MEDICAL GROUP, INC. - NPI 1659399202

Q: What is Pacific Wound Center Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

On this page

About Pacific Wound Center Medical Group, Inc. NPPES

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

PACIFIC WOUND CENTER MEDICAL GROUP, INC. (NPI 1659399202) is a healthcare organization registered as a cardiovascular disease in Stockton, California and active in the NPI registry since July 2006. The organization lists William D. Mcdonald, Owner/authorized Official,(per Peco, as its authorized official.

NPPES Registry Identity

NPI1659399202

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePACIFIC WOUND CENTER MEDICAL GROUP, INC.

Location Address4722 QUAIL LAKES DR, SUITE AStockton, CA 95207-5256

Mailing Address4722 Quail Lakes Dr, Suite AStockton, CA 95207-5256 · (209) 476-0675 · Fax (209) 476-9389

Phone(209) 476-0675

Fax(209) 476-9389

Organization SubpartNo

Authorized OfficialWilliam D. McdonaldOwner/authorized Official,(per Peco · (209) 476-0675

Enumeration DateJuly 18, 2006

Last NPPES UpdateNovember 23, 2015

✔ NPI 1659399202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · A31110

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License G74876 (CA)

Also ListedPodiatristTaxonomy 213E00000X · License E3287 (CA)

4722 QUAIL LAKES DR, Stockton, CA 95207

Open in Google Maps ↗

Other Identifiers 4

OtherZZZ07794ZCA · Blue Shield

Medicare PINZZZ28592ZCA

Medicare PINZZZ28592Z

OtherZZZ07794ZBlue Shield

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAN VONGTAMA M.D.

Radiology (Radiation Oncology)

4722 QUAIL LAKES DR
STOCKTON, CA 95207

San Joaquin County (209) 472-1848

V. VONGTAMA MD INC

Radiology (Radiation Oncology)

4722 QUAIL LAKES DR
STOCKTON, CA 95207

San Joaquin County (209) 472-1848

VITUNE VONGTAMA MD

Radiology (Radiation Oncology)

4722 QUAIL LAKES DR
STOCKTON, CA 95207

San Joaquin County (209) 472-1848

ANNETTE MARIA SEILER MD

Family Medicine

4722 QUAIL LAKES DR, SUITE A
STOCKTON, CA 95207

San Joaquin County (209) 476-0675

WILLIAM D MCDONALD DPM

Podiatrist

4722 QUAIL LAKES DR, SUITE A
STOCKTON, CA 95207

San Joaquin County (209) 476-0675

CORKY HUL MEDICAL ASSOC

Preventive Medicine (Occupational Medicine)

4722 QUAIL LAKES DR
STOCKTON, CA 95207

San Joaquin County (209) 610-1800

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 Pacific Wound Center Medical Group, Inc.'s NPI number?

The NPI number for Pacific Wound Center Medical Group, Inc. is 1659399202. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Pacific Wound Center Medical Group, Inc. located?

Pacific Wound Center Medical Group, Inc. is located at 4722 Quail Lakes Dr Suite A, Stockton, CA 95207. The listed phone number is (209) 476-0675.

What is Pacific Wound Center Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Pacific Wound Center Medical Group, Inc. was last updated on November 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.