Organization Active NPI

Healing Wounds Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Monrovia, CA
National Provider Identifier
1821807264
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HEALING WOUNDS MEDICAL GROUP
Practice address
50 W Lemon Ave Ste 24
Monrovia, CA 91016-6152
Phone
(626) 290-6357
NPI assigned
Dec 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Robert Mathias
Title
Ceo
Phone
(626) 290-6357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

50 W Lemon Ave Ste 24
Monrovia, CA 91016-6152

Mailing address

50 W Lemon Ave Ste 24
Monrovia, CA 91016-6152

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515001600 CA Part B Supplier - Clinic/Group Practice 4284152075 Receives reassigned benefits from 1 practitioner
Practice locations: Monrovia, CA

National Provider Directory

National Provider Directory

Locations

50 W Lemon Ave
Ste 24
Monrovia, CA 91016
Phone (626) 290-6357

Practitioners & affiliated clinicians

Practitioners 1

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": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1821807264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W LEMON AVE STE 24",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910166152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W LEMON AVE STE 24",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910166152",
            "telephone_number": "626-290-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WOUNDS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-290-6357"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.