Organization Active NPI

Woundmedix

  • Clinic/Center
  • Livermore, CA
National Provider Identifier
1871485649
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WOUNDMEDIX
Practice address
1050 Murrieta Blvd
Livermore, CA 94550-4111
Phone
(630) 201-4786
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Raihaan Khan
Title
Cfo
Phone
(630) 201-4786

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1050 Murrieta Blvd
Livermore, CA 94550-4111

Mailing address

1050 Murrieta Blvd
Livermore, CA 94550-4111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250911002377 CA Part B Supplier - Clinic/Group Practice 0648773176 Receives reassigned benefits from 1 practitioner
Practice locations: Livermore, CA

National Provider Directory

National Provider Directory

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": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1871485649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MURRIETA BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504111",
            "telephone_number": "630-201-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDMEDIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RAIHAAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-201-4786"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.