Organization Active NPI

Wound and Wellness Specialists Professional Corp

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1407734320
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Aug 27, 2025

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20251106004370 NV Part B Supplier - Clinic/Group Practice 3274023387 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.