Advance Wound Care Pros

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ADVANCE WOUND CARE PROS

Practice address

6257 Van Nuys Blvd Ste a
Van Nuys, CA 91401-2733

Phone

(818) 939-6289

NPI assigned

May 28, 2025

Last updated

May 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gevork Ekimyan

Title

Manager

Phone

(818) 939-6289

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Anahit H Blikian, M.D.

  • Adolescent Medicine (Family Medicine) Physician
  • Glendale, CA
  • NPI 1376596403
  Medicare reassignment NPD
• Denise Fitzgerald Greene, RNP

  • Primary Care Nurse Practitioner
  • Cypress, CA
  • NPI 1578766366
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1629861844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6257 VAN NUYS BLVD STE A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012733",
            "telephone_number": "818-939-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6257 VAN NUYS BLVD STE A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012733",
            "telephone_number": "818-939-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE WOUND CARE PROS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "EKIMYAN",
        "authorized_official_first_name": "GEVORK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-939-6289"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldrine Alba Adraneda, DNP
• Adva Home Health Inc
• Adva Hospice Inc
• Advance Healthmed Inc
• Advance Hospice and Palliative Care, Inc.
• Advanced Cardiovascular Interpretation Medical Group
• Advanced Cardiovascular Interpretations Medical Group
• Advanced Care Hospice, Inc.
• Advanced Chiropractic Medical Rehab Inc
• Advanced Health Care Providers, Inc.

• Primary Care Nurse Practitioner in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.