Organization Active NPI

Medi Mobile & Wound Care Inc

  • Family Medicine Physician
  • Agoura Hills, CA
National Provider Identifier
1053277731
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDI MOBILE & WOUND CARE INC
Practice address
29219 Canwood St Ste 240
Agoura Hills, CA 91301-1590
Phone
(747) 315-3813
Fax
(747) 315-3823
NPI assigned
Dec 26, 2025
Last updated
Dec 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Ovsanna Arakelyan, FNPNPI 1114897030
Title
President/Ceo
Phone
(818) 469-0066

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Plastic and Reconstructive Surgery Physician 2086S0122X NU

Addresses

Primary practice location

29219 Canwood St Ste 240
Agoura Hills, CA 91301-1590

Mailing address

29219 Canwood St Ste 240
Agoura Hills, CA 91301-1590
Phone (747) 315-3813

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260406002429 CA Part B Supplier - Clinic/Group Practice 2062987282 Receives reassigned benefits from 3 practitioners
Practice locations: Agoura Hills, CA

National Provider Directory

National Provider Directory

Locations

29219 Canwood St
Ste 240
Agoura Hills, CA 91301
Phone (747) 315-3813

Practitioners & affiliated clinicians

Practitioners 4

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": "1766707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1053277731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29219 CANWOOD ST STE 240",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011590",
            "telephone_number": "747-315-3813",
            "fax_number": "747-315-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29219 CANWOOD ST STE 240",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011590",
            "telephone_number": "747-315-3813",
            "fax_number": "747-315-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI MOBILE & WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "ARAKELYAN",
        "authorized_official_first_name": "OVSANNA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-469-0066",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.