Active NPI
Wound and Wellness Specialists Professional Corp
- Internal Medicine Physician
- Las Vegas, NV
National Provider Identifier
1407734320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WOUND AND WELLNESS SPECIALISTS PROFESSIONAL CORP
- Practice address
- 4735 S Durango Dr Ste 110
Las Vegas, NV 89147-8164 - Phone
- (888) 844-7919
- NPI assigned
- Aug 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vahe Kazarian, MD
- Title
- Ceo
- Phone
- (888) 844-7919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4735 S Durango Dr Ste 110
Las Vegas, NV 89147-8164
Mailing address
4735 S Durango Dr Ste 110
Las Vegas, NV 89147-8164
Phone (888) 844-7919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251106004370 | NV | Part B Supplier - Clinic/Group Practice | 3274023387 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
4735 S Durango Dr
Ste 110
Las Vegas, NV 89147
Phone (888) 844-7919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1407734320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 S DURANGO DR STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478164",
"telephone_number": "888-844-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 S DURANGO DR STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478164",
"telephone_number": "888-844-7919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND AND WELLNESS SPECIALISTS PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "KAZARIAN",
"authorized_official_first_name": "VAHE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-844-7919",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.