NPIMap

Organization Active NPI

Wound Saviors Advanced Medical Group Inc

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1013809854
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WOUND SAVIORS ADVANCED MEDICAL GROUP INC
Practice address
3605 Long Beach Blvd Ste 210F
Long Beach, CA 90807-4013
Phone
(714) 698-9826
NPI assigned
Jul 16, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luke Jacob Narciso
Title
Cfo
Phone
(949) 981-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

3605 Long Beach Blvd Ste 210F
Long Beach, CA 90807-4013

Mailing address

3605 Long Beach Blvd Ste 210F
Long Beach, CA 90807-4013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250909003143 CA Part B Supplier - Clinic/Group Practice 1557863347 Receives reassigned benefits from 9 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

3605 Long Beach Blvd
Ste 210F
Long Beach, CA 90807
Phone (714) 698-9826

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1013809854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 210F",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 210F",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074013",
            "telephone_number": "714-698-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND SAVIORS ADVANCED MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "NARCISO",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-981-2670"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.