PHX Mobile Wound Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PHX MOBILE WOUND CARE LLC

Practice address

121 S Hope St Apt 416
Los Angeles, CA 90012-5018

Phone

(602) 851-1266

NPI assigned

Oct 13, 2025

Organization subpart

No

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

Authorized official

Name

Andrew EpsteinNPI 1902141930

Title

Owner

Phone

(602) 851-1266

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• Andrew Michael Epstein, D.O.

  • General Practice Physician
  • Tucson, AZ
  • NPI 1902141930

  CA

  Medicare reassignment NPD Authorized official
• Josha Krista Ventura Hilahan

  • Family Nurse Practitioner
  • Anaheim, CA
  • NPI 1235905019
  Medicare reassignment NPD
• Tamara Sue Pippin, FNP

  • Family Nurse Practitioner
  • San Jacinto, CA
  • NPI 1508569567
  Medicare reassignment NPD
• Karissa Enojas

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1659150613
  Medicare reassignment

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1184590598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S HOPE ST APT 416",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900125018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S HOPE ST APT 416",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900125018",
            "telephone_number": "602-851-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHX MOBILE WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-851-1266"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Ke Phung, LVN
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• Melissa Erin Phuphanich, MD, MS
• Chaivat Phuvadakorn, M.D.
• Phyllis Armstrong Psychological Services
• Physical Rehabilitation Institue of Los Angeles Prila
• Physical Therapy Care, Inc
• Physical Therapy Integrated Services Inc
• Physician Assistant & Associates Inc

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.