Organization Active NPI

Advanced Wound Healing Specialists, Inc.

  • Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1215475983
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ADVANCED WOUND HEALING SPECIALISTS, INC.
Practice address
2190 Lynn Rd
Ste 320
Thousand Oaks, CA 91360-8026
Phone
(805) 370-4325
NPI assigned
Feb 2, 2017
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Trung Bui, M.D.NPI 1225219702
Title
President
Phone
(805) 370-4325

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
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

2190 Lynn Rd
Ste 320
Thousand Oaks, CA 91360-8026

Mailing address

13990 Bear Fence CT
Moorpark, CA 93021-5022
Phone (818) 718-2301

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1215475983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13990 BEAR FENCE CT",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930215022",
            "telephone_number": "818-718-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD",
            "address_2": "STE 320",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608026",
            "telephone_number": "805-370-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND HEALING SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-370-4325",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.