Organization Active NPI

Carequest Mobile Doctors & Wound Specialists

  • Infectious Disease Physician
  • Van Nuys, CA
National Provider Identifier
1124831755
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
CAREQUEST MOBILE DOCTORS & WOUND SPECIALISTS
Practice address
13749 Victory Blvd Ste B
Van Nuys, CA 91401-2348
Phone
(818) 601-8844
NPI assigned
Jan 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Edmond Houkasian
Title
Owner
Phone
(818) 601-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

13749 Victory Blvd Ste B
Van Nuys, CA 91401-2348

Mailing address

13749 Victory Blvd Ste B
Van Nuys, CA 91401-2348

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606001738 CA Part B Supplier - Clinic/Group Practice 7911417282 Receives reassigned benefits from 2 practitioners
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

121 W Lexington Dr
Ste 602B
Glendale, CA 91203

13749 Victory Blvd
Ste B
Van Nuys, CA 91401
Phone (818) 601-8844

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1124831755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13749 VICTORY BLVD STE B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13749 VICTORY BLVD STE B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012348",
            "telephone_number": "818-601-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREQUEST MOBILE DOCTORS & WOUND SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "HOUKASIAN",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-601-8844"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.