Organization Active NPI

Elite Wound Care & Medical Services, Inc

  • Medical Specialty Clinic/Center
  • Sherman Oaks, CA
National Provider Identifier
1275211138
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ELITE WOUND CARE & MEDICAL SERVICES, INC
Doing business as
Elite Wound Care
Practice address
4312 Woodman Ave Ste 300
Sherman Oaks, CA 91423-5514
Phone
(747) 877-2788
Fax
(747) 877-2886
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Julie S Grand
Title
Ceo
Phone
(818) 305-6998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

4312 Woodman Ave Ste 300
Sherman Oaks, CA 91423-5514

Mailing address

4312 Woodman Ave Ste 300
Sherman Oaks, CA 91423-5514
Phone (747) 877-2788

Other names 1

  • Elite Wound Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231102003375 CA Part B Supplier - Clinic/Group Practice 2860849452 Receives reassigned benefits from 2 practitioners
Practice locations: Sherman Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2315329Elite Wound Care & Medical Services Inc4312 Woodman Ave Ste 300, Sherman Oaks, CA 91423Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory

Locations

17835 Ventura Blvd
#106
Encino, CA 91316

17835 Ventura Blvd
Ste 106
Encino, CA 91316
Phone (310) 469-9190

17835 Ventura Blvd
Encino, CA 91316

4312 Woodman Ave
Ste 300
Sherman Oaks, CA 91423
Phone (747) 877-2788

Practitioners & affiliated clinicians

Practitioners 2

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": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1275211138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 WOODMAN AVE STE 300",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235514",
            "telephone_number": "747-877-2788",
            "fax_number": "747-877-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 WOODMAN AVE STE 300",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235514",
            "telephone_number": "747-877-2788",
            "fax_number": "747-877-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOUND CARE & MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "GRAND",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-305-6998"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.