Organization Active NPI

Nexus Wound Consultants PC

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1225875313
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEXUS WOUND CONSULTANTS PC
Practice address
330 N Brand Blvd Ste 700
Glendale, CA 91203-2336
Phone
(830) 285-8882
Fax
(830) 215-4711
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Dr. Samuel James Jurca, DONPI 1962069203
Title
Ceo
Phone
(830) 282-8224

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

330 N Brand Blvd Ste 700
Glendale, CA 91203-2336

Mailing address

372 S Eagle Rd
Eagle, ID 83616-5908
Phone (830) 282-8224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010000606 CA Part B Supplier - Clinic/Group Practice 2365974789 Receives reassigned benefits from 4 practitioners
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

372 S Eagle Rd
Eagle, ID 83616
Phone (260) 409-5724

Practitioners & affiliated clinicians

Practitioners 5

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": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1225875313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 S EAGLE RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165908",
            "telephone_number": "830-282-8224",
            "fax_number": "830-215-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 700",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032336",
            "telephone_number": "830-285-8882",
            "fax_number": "830-215-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS WOUND CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "JURCA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-282-8224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.