Active NPI
Compassionate Wound Care Inc
- Family Medicine Physician
- Irvine, CA
National Provider Identifier
1063295996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMPASSIONATE WOUND CARE INC
- Practice address
- 402 Rockefeller Unit 407
Irvine, CA 92612-8107 - Phone
- (949) 294-9373
- NPI assigned
- Aug 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sundeep Pandhoh
- Title
- Ceo
- Phone
- (949) 294-9373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
402 Rockefeller Unit 407
Irvine, CA 92612-8107
Mailing address
402 Rockefeller Unit 407
Irvine, CA 92612-8107
Phone (949) 294-9373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4041 MacArthur Blvd
Ste 290
Newport Beach, CA 92660
Phone (714) 322-0840
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Irvine, CA
- NPI 1083689129
-
- Behavior Technician
- Van Nuys, CA
- NPI 1255878948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1063295996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 ROCKEFELLER UNIT 407",
"city": "IRVINE",
"state": "CA",
"postal_code": "926128107",
"telephone_number": "949-294-9373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 ROCKEFELLER UNIT 407",
"city": "IRVINE",
"state": "CA",
"postal_code": "926128107",
"telephone_number": "949-294-9373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE WOUND CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "PANDHOH",
"authorized_official_first_name": "SUNDEEP",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-294-9373"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
- Jadelynn Collins
- Coluzzi & Tetef Medical Corporation
- Communication Bridges, Inc.
- Community Performancerx Mso, LLC
- Aryana Companivala
- Carlos G Compean, DDS
- Complete Care Medical Group Professional Corporation (Complete Care Medical Group)
- Complete Sleep Center of Orange County
- Comprehensive Behavior Solutions, Inc.
- Comprehensive Care Center of Irvine, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.