Organization Active NPI

GDK Wound Care Inc

  • Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1538031166
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
GDK WOUND CARE INC
Practice address
14545 Friar St Ste 208
Van Nuys, CA 91411-2398
Phone
(747) 688-0019
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Gevorg Sarkisian
Title
Practice Owner
Phone
(747) 688-0019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 208
Van Nuys, CA 91411-2398

Mailing address

14545 Friar St Ste 208
Van Nuys, CA 91411-2398
Phone (747) 688-0019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260115003147 CA Part B Supplier - Clinic/Group Practice 7517444904 Receives reassigned benefits from 1 practitioner
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

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": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1538031166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398",
            "telephone_number": "747-688-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 208",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112398",
            "telephone_number": "747-688-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDK WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "SARKISIAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "747-688-0019"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.