Active NPI
Wello Wound Care, LLC
- Medical Specialty Clinic/Center
- Studio City, CA
National Provider Identifier
1609762285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- WELLO WOUND CARE, LLC
- Practice address
- 11239 Ventura Blvd
Ste 212, Unit 2
Studio City, CA 91604 - Phone
- (224) 425-1142
- NPI assigned
- Jun 17, 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
- Rovin Santos, NP
- Title
- Principal Provider and Leader
- Phone
- (224) 425-1142
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
11239 Ventura Blvd
Ste 212, Unit 2
Studio City, CA 91604
Mailing address
11413 Etiwanda Ave
Porter Ranch, CA 91326-2013
Phone (224) 425-1142
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750118400000",
"number": "1609762285",
"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",
"address_2": "STE 212, UNIT 2",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "91604",
"telephone_number": "224-425-1142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLO WOUND CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A",
"authorized_official_last_name": "SANTOS",
"authorized_official_first_name": "ROVIN",
"authorized_official_title_or_position": "PRINCIPAL PROVIDER AND LEADER",
"authorized_official_telephone_number": "224-425-1142",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"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": []
}
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 Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.