Healthcare Provider Details

I. General information

NPI: 1962368696
Provider Name (Legal Business Name): SAKARI WOUND SPECIALISTS, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25864 BUSINESS CENTER DR STE C
REDLANDS CA
92374-4515
US

IV. Provider business mailing address

468 MYRTLEWOOD DR
CALIMESA CA
92320-1503
US

V. Phone/Fax

Practice location:
  • Phone: 213-495-4587
  • Fax: 213-855-0800
Mailing address:
  • Phone: 213-495-4587
  • Fax: 213-855-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. JUNETTE EVANS AUSTRIA CACHO
Title or Position: PRESIDENT
Credential: APRN, FNP-BC
Phone: 213-495-4587