Organization Active NPI

Wello Wound Care Nursing PC

  • Sports Medicine (Family Medicine) Physician
  • Studio City, CA
National Provider Identifier
1609752658
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
WELLO WOUND CARE NURSING PC
Practice address
11239 Ventura Blvd Ste 212
Studio City, CA 91604-3167
Phone
(084) 443-5569
NPI assigned
Aug 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Rovin Apostol Santos, NPNPI 1306492368
Title
Ceo/Nurse Practitioner
Phone
(224) 425-1142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

11239 Ventura Blvd Ste 212
Studio City, CA 91604-3167

Mailing address

11413 Etiwanda Ave
Porter Ranch, CA 91326-2013
Phone (224) 425-1142

Other names 1

  • Wello Wound Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250929000544 CA Part B Supplier - Clinic/Group Practice 3577068642 Receives reassigned benefits from 3 practitioners
Practice locations: Studio City, CA

National Provider Directory

National Provider Directory

Locations

11239 Ventura Blvd
Ste 212
Studio City, CA 91604
Phone (224) 425-1142

Practitioners & affiliated clinicians

Practitioners 3

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": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1609752658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11413 ETIWANDA AVE",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262013",
            "telephone_number": "224-425-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 VENTURA BLVD STE 212",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043167",
            "telephone_number": "084-443-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLO WOUND CARE NURSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ROVIN",
        "authorized_official_middle_name": "APOSTOL",
        "authorized_official_title_or_position": "CEO/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "224-425-1142",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wello Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.