Profound Wound Specialists Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PROFOUND WOUND SPECIALISTS INC

Practice address

11145 Tampa Ave Ste 27a
Porter Ranch, CA 91326-2274

Phone

(818) 717-7181

NPI assigned

Jul 23, 2025

Last updated

Jul 23, 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

Andranik GevorkyanNPI 1932645322

Title

Ceo

Phone

(310) 885-9888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Kevin Foster, PA/NP

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1184851545
  Medicare reassignment NPD
• Samantha Camille De la Cruz Kasingsing, NP

  • Family Nurse Practitioner
  • Porter Ranch, CA
  • NPI 1477349363

  Single Specialty

  Medicare reassignment NPD
• Andranik Gevorkyan

  • Non-emergency Medical Transport (VAN)
  • Glendale, CA
  • NPI 1932645322
  NPD Authorized official

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1063394716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11145 TAMPA AVE STE 27A",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262274",
            "telephone_number": "818-717-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11145 TAMPA AVE STE 27A",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262274",
            "telephone_number": "818-717-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFOUND WOUND SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "GEVORKYAN",
        "authorized_official_first_name": "ANDRANIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-885-9888"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porter Ranch Medical Center
• Minu Johnson Pottukalam, FNP-C
• Prime Child and Family Therapy
• Priority Physical Therapy Inc
• PRN Nursing Consultants
• Psalm 23 Retreat LLC (Heights Wellness Retreat)
• Psychiatric Center
• Lilibeth O Ramirez, NP-C
• Nashlyne Ramos, DO
• Ranga Nayak Rayudu, M.D.

• Clinic/Center in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.