Organization Active NPI

Post Acute Wound Specialists LLC

  • Surgery Physician
  • Sylmar, CA
National Provider Identifier
1649090762
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
POST ACUTE WOUND SPECIALISTS LLC
Practice address
14122 Hubbard St
Sylmar, CA 91342-4712
Phone
(818) 667-6488
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Dr. Mark Gobrial, MD
Title
Managing Partner
Phone
(818) 667-6488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

14122 Hubbard St
Sylmar, CA 91342-4712

Mailing address

8834 Reseda Blvd Ste 2052
Northridge, CA 91324-4039
Phone (213) 823-5699

National Provider Directory

National Provider Directory

Locations

8834 Reseda Blvd
Ste 2052
Northridge, CA 91324

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1649090762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8834 RESEDA BLVD STE 2052",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244039",
            "telephone_number": "213-823-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14122 HUBBARD ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424712",
            "telephone_number": "818-667-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST ACUTE WOUND SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "GOBRIAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "818-667-6488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.