NPIMap

Organization Active NPI

Omni Wound Physicians PLLC

Doing business as Omni Wound Physicians Washington

  • Surgery Physician
  • Valencia, CA
National Provider Identifier
1023821055
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
OMNI WOUND PHYSICIANS PLLC
Doing business as
Omni Wound Physicians Washington
Practice address
28212 Kelly Johnson Pkwy Ste 200
Valencia, CA 91355-5090
Phone
(213) 228-3538
NPI assigned
Jan 31, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Izuchukwu Okpara, MDNPI 1184992851
Title
Ceo
Phone
(661) 649-4713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

28212 Kelly Johnson Pkwy Ste 200
Valencia, CA 91355-5090

Mailing address

28212 Kelly Johnson Pkwy Ste 200
Valencia, CA 91355-5090
Phone (213) 228-3538

Other names 1

  • Omni Wound Physicians Washington Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250521001083 WA Part B Supplier - Clinic/Group Practice 6800310699 Receives reassigned benefits from 7 practitioners
Practice locations: Olympia, WA

National Provider Directory

National Provider Directory

Locations

25050 Peachland Ave
Ste 255
Santa Clarita, CA 91321
Phone (714) 261-5181

Practitioners & affiliated clinicians

Practitioners 8

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": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1023821055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY STE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555090",
            "telephone_number": "213-228-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY STE 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555090",
            "telephone_number": "213-228-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI WOUND PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "OKPARA",
        "authorized_official_first_name": "IZUCHUKWU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-649-4713",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Wound Physicians Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.