Organization Active NPI

Advanced Wound Care and Grafting, Inc.

  • Clinic/Center
  • Santa Clarita, CA
National Provider Identifier
1275409062
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ADVANCED WOUND CARE AND GRAFTING, INC.
Practice address
27125 Sierra Hwy Ste 325
Santa Clarita, CA 91351-5432
Phone
(747) 309-7461
NPI assigned
Oct 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Tatarkan Gugkaev
Title
Ceo
Phone
(747) 309-7461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

27125 Sierra Hwy Ste 325
Santa Clarita, CA 91351-5432

Mailing address

27125 Sierra Hwy Ste 325
Santa Clarita, CA 91351-5432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251224000470 CA Part B Supplier - Clinic/Group Practice 9739674037 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clarita, CA

National Provider Directory

National Provider Directory

Locations

27125 Sierra Hwy
Ste 325
Santa Clarita, CA 91351
Phone (661) 221-5688

Practitioners & affiliated clinicians

Practitioners 1

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": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1275409062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27125 SIERRA HWY STE 325",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913515432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27125 SIERRA HWY STE 325",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913515432",
            "telephone_number": "747-309-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WOUND CARE AND GRAFTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "GUGKAEV",
        "authorized_official_first_name": "TATARKAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-309-7461"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.