Pasadena Wound Specialty, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PASADENA WOUND SPECIALTY, INC.

Practice address

155 N Lake Ave Ste 827
Pasadena, CA 91101-1849

Phone

(818) 326-3037

NPI assigned

Sep 5, 2025

Organization subpart

No

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

Authorized official

Name

Nikita Eliseev

Title

Ceo

Phone

(818) 326-3037

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Syed M Hossain, M.D. .

  • Family Medicine Physician
  • Compton, CA
  • NPI 1083787907
  Medicare reassignment

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1831079110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N LAKE AVE STE 827",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011849",
            "telephone_number": "818-326-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N LAKE AVE STE 827",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011849",
            "telephone_number": "818-326-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA WOUND SPECIALTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "ELISEEV",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-326-3037"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pasadena Women'S Medical Group, Inc
• Laryssa Jean-Marie Pascal
• Justine Mercado Pascua, M.ED.
• Gabrielle Pascual
• Paseo Pharmacy LTD
• Paseo Pharmacy LTD

• Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.