Elite Wound Specialist PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ELITE WOUND SPECIALIST PC

Practice address

14553 Delano St Ste 306
Van Nuys, CA 91411-2858

Phone

(310) 621-9038

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Shima Pezeshki, NPNPI 1518632421

Title

Shareholder

Phone

(310) 500-9068

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Shima Pezeshki, NP

  • Nurse Practitioner
  • Toluca Lake, CA
  • NPI 1518632421
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1154148997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MAPLE DR",
            "address_2": "PO BOX 5772",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902096002",
            "telephone_number": "310-621-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14553 DELANO ST STE 306",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112858",
            "telephone_number": "310-621-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOUND SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "PEZESHKI",
        "authorized_official_first_name": "SHIMA",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "310-500-9068",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Hospice, Inc.
• Elite Management Advantage, Inc
• Elite Mind Corp
• Elite Physical Therapy & Wellness Center, Inc
• Elite Physical Therapy, LLC
• Elitemed Home Health, Inc
• Eliza Sukhee Ahn MD Inc
• Ellen Nursing Home Health Services Inc
• Elizabeth Ellington
• Elpis Home Care Inc

• Health Service Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.