Organization Active NPI

SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1114393311
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SNF WOUND CARE
Practice address
11270 Exposition Blvd FL 1
Box: 641519
Los Angeles, CA 90064-3255
Phone
(833) 379-6863
Fax
(833) 379-6863
NPI assigned
Aug 11, 2015
Last updated
Jan 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Payam M Tehrani, MDNPI 1144511338
Title
Owner
Phone
(833) 379-6863

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

11270 Exposition Blvd FL 1
Box: 641519
Los Angeles, CA 90064-3255

Mailing address

PO Box 641519
Los Angeles, CA 90064-6519
Phone (833) 379-6863

Other names 1

  • Payam Tehrani MD APC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, WA, TX, GA, NV, MI, WI, CO, OH, DE, ME, DC, NH, AZ, AR, NM, OR, AK, KY, LA, WY, IL, SC, TN, NE, MO, CT28 enrollments

Enrollment records 28

Enrollment IDStateProvider typePAC IDDetails
O20151006000251 CA Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 94 practitioners
Practice locations: Fairfield, CA; Fremont, CA; Hayward, CA; Los Angeles, CA; Vacaville, CA
O20210329001973 FL Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL
O20210405000613 WA Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 9 practitioners
Practice locations: Seattle, WA
O20210407001985 TX Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 8 practitioners
Practice locations: San Antonio, TX
O20210414001099 GA Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, GA
O20210625000185 NV Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20210920002198 MI Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 13 practitioners
Practice locations: Kalamazoo, MI
O20220110000461 WI Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 3 practitioners
Practice locations: Clinton, WI
O20220204001180 CO Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 2 practitioners
Practice locations: Longmont, CO
O20220802001366 OH Part B Supplier - Clinic/Group Practice 1759699176 Practice locations: Athens, OH
O20230117000474 DE Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 1 practitioner
Practice locations: Dover, DE
O20230418000542 ME Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 2 practitioners
Practice locations: Dover Foxcroft, ME
O20230511003307 DC Part B Supplier - Clinic/Group Practice 1759699176 Practice locations: Washington, DC
O20231011003047 NH Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 1 practitioner
Practice locations: Keene, NH
O20231219001806 AZ Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 5 practitioners
Practice locations: Peoria, AZ
O20240209003930 AR Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 1 practitioner
Practice locations: Pocahontas, AR
O20240213004826 NM Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 6 practitioners
Practice locations: Casa Blanca, NM
O20241030002972 OR Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 6 practitioners
Practice locations: Molalla, OR
O20241104002197 AK Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 3 practitioners
Practice locations: Anchorage, AK
O20241121004232 KY Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 3 practitioners
Practice locations: Augusta, KY
O20241202002340 LA Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 4 practitioners
Practice locations: Jonesville, LA
O20250219000433 WY Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 2 practitioners
Practice locations: Rock Springs, WY
O20250515001024 IL Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 1 practitioner
Practice locations: Crystal Lake, IL
O20250610001114 SC Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 2 practitioners
Practice locations: West Columbia, SC
O20250805000686 TN Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 2 practitioners
Practice locations: Covington, TN
O20250827004364 NE Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 1 practitioner
Practice locations: Emerson, NE; Randolph, NE
O20260326000614 MO Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 1 practitioner
Practice locations: Jefferson City, MO
O20260327003801 CT Part B Supplier - Clinic/Group Practice 1759699176 Receives reassigned benefits from 1 practitioner
Practice locations: New Britain, CT

National Provider Directory

National Provider Directory

Locations

500 Camp Rd
Pocahontas, AR 72455
Phone (310) 270-6181

26660 Patrick Ave
Hayward, CA 94544
Phone (510) 782-1845

11270 Exposition Blvd
Fl 1
Los Angeles, CA 90064

Practitioners & affiliated clinicians

Practitioners 174

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.

View all 174

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1114393311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641519",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900646519",
            "telephone_number": "833-379-6863",
            "fax_number": "833-379-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 EXPOSITION BLVD FL 1",
            "address_2": "BOX: 641519",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643255",
            "telephone_number": "833-379-6863",
            "fax_number": "833-379-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNF WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-379-6863",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payam Tehrani MD APC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Payam Tehrani MD APC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.