Active NPI
Jovive Wound Care PC
- Clinic/Center
- Loma Linda, CA
National Provider Identifier
1649186412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- JOVIVE WOUND CARE PC
- Practice address
- 11340 Mountain View Ave Ste B
Loma Linda, CA 92354-3858 - Phone
- (909) 435-4852
- NPI assigned
- Aug 21, 2026
- 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
- Theophile George Koury, MD
- Title
- President
- Phone
- (510) 350-2774
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| General Practice Physician | 208D00000X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
11340 Mountain View Ave Ste B
Loma Linda, CA 92354-3858
Mailing address
2100 Powell St Ste 400
Emeryville, CA 94608-1872
Other practice location 1
112 La Casa Via Ste 135
Walnut Creek, CA 94598-3023
Phone (925) 471-4291
Other practice location 2
26732 Crown Valley Pkwy Ste 585
Mission Viejo, CA 92691-6376
Phone (949) 850-9964
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1649186412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 400",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11340 MOUNTAIN VIEW AVE STE B",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543858",
"telephone_number": "909-435-4852"
}
],
"practiceLocations": [
{
"address_1": "112 La Casa Via Ste 135",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945983023",
"country_code": "US",
"telephone_number": "925-471-4291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26732 Crown Valley Pkwy Ste 585",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926916376",
"country_code": "US",
"telephone_number": "949-850-9964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JOVIVE WOUND CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-21",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "KOURY",
"authorized_official_first_name": "THEOPHILE",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-350-2774",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.