Regional Wound Care

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

REGIONAL WOUND CARE

Practice address

6308 Woodman Ave Ste 101
Van Nuys, CA 91401-2367

Phone

(619) 252-1210

NPI assigned

Apr 17, 2025

Last updated

Sep 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alfred Cisneros, MDNPI 1689895856

Title

President & Ceo

Phone

(661) 649-4713

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Alfred Luis Cisneros, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1689895856
  Medicare reassignment NPD Authorized official
• Lilia Mkhitaryan, APRN, FNP

  • Family Nurse Practitioner
  • Beverly Hills, CA
  • NPI 1326789595
  Medicare reassignment NPD
• Tamara Sue Pippin, FNP

  • Family Nurse Practitioner
  • San Jacinto, CA
  • NPI 1508569567
  Medicare reassignment NPD

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1053107854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25044 PEACHLAND AVE STE 110",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 WOODMAN AVE STE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012367",
            "telephone_number": "619-252-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "661-649-4713",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regal Home Health, Inc.
• Regal Hospice, Inc.
• Jaime Regalado
• Regents of the University of California (UCLA Ipn Scoi)
• Regents of the University of California (UCLA Integrated Provider Network)
• Joederick Santos Reguyal
• Andrea Reiche, MD
• Monique Reid
• Faith Marie Reiland
• Alex Reinoza

• Surgery Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Surgery Physician in California

• 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.