Restore Mobile Wound Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RESTORE MOBILE WOUND CARE

Practice address

21243 Ventura Blvd Ste 259
Woodland Hills, CA 91364-2109

Phone

(818) 681-1351

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Maria Samantha Layson, NP

Title

Ceo

Phone

(818) 681-1351

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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

• Antonio Cardona Jr., NP

  • Nurse Practitioner
  • Granada Hills, CA
  • NPI 1205552072
  Medicare reassignment NPD
• Maria Samantha Layson

  • Family Nurse Practitioner
  • Northridge, CA
  • NPI 1447916168
  Medicare reassignment NPD
• Dianne K Palasio, NP

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1194342451
  Medicare reassignment NPD
• Angie Andreina Trias Sanchez, MD

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1881170199
  Medicare reassignment NPD
• Eliezer M Yachini, FNP-BC

  • Family Nurse Practitioner
  • Winnetka, CA
  • NPI 1205677523
  Medicare reassignment NPD
• Jaylene Thien Nguyen, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1720542665
  Medicare reassignment

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1780417790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21243 VENTURA BLVD STE 259",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642109",
            "telephone_number": "818-681-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21243 VENTURA BLVD STE 259",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642109",
            "telephone_number": "818-681-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE MOBILE WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "LAYSON",
        "authorized_official_first_name": "MARIA SAMANTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-681-1351",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reseda Home for the Elderly, Inc. - Dba- Ave of the Bells
• Sebastian Alexis Resendiz
• Reset Recovery LLC
• Resilient Rehabilitation, LLC
• Restoration Physical Therapy
• Marilou Cruz Rettig, PHARMACIST
• Revive Anesthesia Inc
• Revivify Home Health Care
• Sivan Revivo
• Sergio Revuelta Gonzalez

• Family Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.