Wound Docs APC
NPI 1629891676ActiveOrganization· Surgery· Aliso Viejo, CA
Surgery in Aliso Viejo, California, registered in NPPES in November 2024. The authorized official on file is Kevin Jackson, PA, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629891676 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2024 |
| Last updated in NPPES | Mar 2, 2026 |
| Certified by provider | Mar 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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