Organization Active NPI

Wound and Burn Centers of America, P.C.

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1386306611
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WOUND AND BURN CENTERS OF AMERICA, P.C.
Practice address
351 S Fuller Ave Apt 11a
Los Angeles, CA 90036-5455
Phone
(408) 373-7049
NPI assigned
Oct 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Babak Hajhosseini, MDNPI 1558621003
Title
President/Ceo
Phone
(408) 373-7049

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

351 S Fuller Ave Apt 11a
Los Angeles, CA 90036-5455

Mailing address

351 S Fuller Ave Apt 11a
Los Angeles, CA 90036-5455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211112000841 CA Part B Supplier - Clinic/Group Practice 2961891940 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8631 W 3rd St
Ste 1110
Los Angeles, CA 90048
Phone (310) 652-5512

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": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1386306611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S FULLER AVE APT 11A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S FULLER AVE APT 11A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365455",
            "telephone_number": "408-373-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND AND BURN CENTERS OF AMERICA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "HAJHOSSEINI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "408-373-7049",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.