Organization Active NPI

Wello Wound Care Nursing, PC

  • Sports Medicine (Family Medicine) Physician
  • Studio City, CA
National Provider Identifier
1629954011
Registry record updated Aug 13, 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 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Mr. Rovin Apostol Santos, NP
Title
Nurse Practitioner
Phone
(224) 425-1142

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1629954011",
    "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": "2025-08-12",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ROVIN",
        "authorized_official_middle_name": "APOSTOL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "224-425-1142",
        "authorized_official_name_prefix": "Mr.",
        "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"
        },
        {
            "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 Aug 13, 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.

Verify at the official NPI Registry.