OrganizationActive
Wound Care Professionals
NPI 1619702156 · Family Medicine Physician · Fullerton, CA
Provider details
- NPI number
- 1619702156
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cyril Macapagal, Manager(657) 366-1114
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2461 E Orangethorpe Ave Ste 227
Fullerton, CA 92831-5302
Phone: (657) 366-1114
Street-level locationGet directions
Mailing address
10 Shady Cove Ct
Azusa, CA 91702-6258
Registry dates
- Enumerated
- 2024-09-04
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.