Organization Active NPI

Family and Wound Care Solutions

  • Family Nurse Practitioner
  • Tarzana, CA
National Provider Identifier
1689482416
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FAMILY AND WOUND CARE SOLUTIONS
Practice address
19525 Ventura Blvd Ste D
Tarzana, CA 91356-2946
Phone
(562) 316-0200
NPI assigned
Dec 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Noemi EcheverriaNPI 1962972257
Title
Owner
Phone
(818) 939-3548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

19525 Ventura Blvd Ste D
Tarzana, CA 91356-2946

Mailing address

6625 Nestle Ave
Reseda, CA 91335-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250327002700 CA Part B Supplier - Clinic/Group Practice 8123541463 Receives reassigned benefits from 7 practitioners
Practice locations: Paramount, CA

National Provider Directory

National Provider Directory

Locations

19525 Ventura Blvd
Ste D
Tarzana, CA 91356
Phone (562) 316-0200

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1689482416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 NESTLE AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19525 VENTURA BLVD STE D",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562946",
            "telephone_number": "562-316-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND WOUND CARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "ECHEVERRIA",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-939-3548"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.