Organization Active NPI

Medix Wound Care Physicians Inc

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1215615810
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDIX WOUND CARE PHYSICIANS INC
Practice address
355 E Rincon St Ste 215
Corona, CA 92879-1372
Phone
(951) 268-9245
Fax
(951) 268-9246
NPI assigned
Jul 5, 2023
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Abdul Khan, MDNPI 1063400380
Title
President
Phone
(310) 561-0915

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 Primary

Addresses

Primary practice location

355 E Rincon St Ste 215
Corona, CA 92879-1372

Mailing address

355 E Rincon St Ste 215
Corona, CA 92879-1372
Phone (951) 268-9245

National Provider Directory

National Provider Directory

Locations

177 Business Center Dr
Corona, CA 92878
Phone (951) 268-9245

355 E Rincon St
Ste 215
Corona, CA 92879
Phone (951) 268-9245

Practitioners & affiliated clinicians

Practitioners 3

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": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1215615810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E RINCON ST STE 215",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791372",
            "telephone_number": "951-268-9245",
            "fax_number": "951-268-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E RINCON ST STE 215",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791372",
            "telephone_number": "951-268-9245",
            "fax_number": "951-268-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIX WOUND CARE PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-561-0915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.