Organization Active NPI

Woundx a Healthcare Distributing Company LLC

  • Nurse Practitioner
  • Agoura Hills, CA
National Provider Identifier
1871481085
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WOUNDX A HEALTHCARE DISTRIBUTING COMPANY LLC
Practice address
30101 Agoura CT Ste 232
Agoura Hills, CA 91301-4374
Phone
(310) 706-5401
NPI assigned
Jun 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Sabina Banyan
Title
Owner
Phone
(310) 706-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

30101 Agoura CT Ste 232
Agoura Hills, CA 91301-4374

Mailing address

30101 Agoura CT Ste 232
Agoura Hills, CA 91301-4374
Phone (310) 706-5401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250821001383 CA Part B Supplier - Clinic/Group Practice 8628578077 Receives reassigned benefits from 1 practitioner
Practice locations: Agoura Hills, CA

National Provider Directory

National Provider Directory

Locations

30101 Agoura Ct
Ste 232
Agoura Hills, CA 91301
Phone (310) 706-5401

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": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1871481085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 232",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014374",
            "telephone_number": "310-706-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 232",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014374",
            "telephone_number": "310-706-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDX A HEALTHCARE DISTRIBUTING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "BANYAN",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-706-5401"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.