Organization Active NPI

Nukala Med Inc

Doing business as Wound Genius

  • Internal Medicine Physician
  • Porter Ranch, CA
National Provider Identifier
1558184747
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NUKALA MED INC
Doing business as
Wound Genius
Practice address
11716 Abbey LN
Porter Ranch, CA 91326-2469
Phone
(314) 422-1432
NPI assigned
Nov 5, 2024
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Paula O Spearman
Title
Credentialing Specialist
Phone
(985) 778-3357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

11716 Abbey LN
Porter Ranch, CA 91326-2469

Mailing address

11716 Abbey LN
Porter Ranch, CA 91326-2469
Phone (314) 422-1432

Other names 1

  • WOUND GENIUS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241225000000 CA Part B Supplier - Clinic/Group Practice 2163959552 Receives reassigned benefits from 1 practitioner
Practice locations: Porter Ranch, CA
O20250916000348 FL Part B Supplier - Clinic/Group Practice 2163959552 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1558184747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 ABBEY LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262469",
            "telephone_number": "314-422-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11716 ABBEY LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262469",
            "telephone_number": "314-422-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUKALA MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "SPEARMAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "985-778-3357"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOUND GENIUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Porter Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.