Organization Active NPI

Woundsafe

  • General Practice Physician
  • Encino, CA
National Provider Identifier
1386439651
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WOUNDSAFE
Practice address
15720 Ventura Blvd Ste 305
Encino, CA 91436-2988
Phone
(818) 290-3038
Fax
(818) 290-3102
NPI assigned
Apr 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Marine Vardanyan
Title
Secretary
Phone
(818) 572-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

15720 Ventura Blvd Ste 305
Encino, CA 91436-2988

Mailing address

15720 Ventura Blvd Ste 305
Encino, CA 91436-2988
Phone (818) 290-3038

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819002563 CA Part B Supplier - Clinic/Group Practice 5193224855 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

15720 Ventura Blvd
Ste 305
Encino, CA 91436
Phone (818) 290-3038

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": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1386439651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 305",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362988",
            "telephone_number": "818-290-3038",
            "fax_number": "818-290-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 305",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362988",
            "telephone_number": "818-290-3038",
            "fax_number": "818-290-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDSAFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "VARDANYAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "818-572-3937"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.