Organization Active NPI

Precision Wound Solutions

  • Nursing Care Agency
  • La Crescenta, CA
National Provider Identifier
1396562252
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PRECISION WOUND SOLUTIONS
Practice address
3959 Foothill Blvd
La Crescenta, CA 91214-1603
Phone
(310) 666-2392
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Davit Hakobyan
Title
President
Phone
(310) 666-2392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

3959 Foothill Blvd
La Crescenta, CA 91214-1603

Mailing address

3959 Foothill Blvd
La Crescenta, CA 91214-1603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250423003416 CA Part B Supplier - Clinic/Group Practice 4789100686 Receives reassigned benefits from 4 practitioners
Practice locations: Granada Hills, CA

National Provider Directory

National Provider Directory

Locations

10324 Balboa Blvd
Ste 115
Granada Hills, CA 91344
Phone (310) 666-2392

3959 Foothill Blvd
La Crescenta, CA 91214
Phone (310) 666-2392

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1396562252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 FOOTHILL BLVD",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 FOOTHILL BLVD",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141603",
            "telephone_number": "310-666-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION WOUND SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-666-2392"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.