Organization Active NPI

Pacific Wound Care Inc.

  • Nephrology Physician
  • Monrovia, CA
National Provider Identifier
1891687638
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PACIFIC WOUND CARE INC.
Practice address
503 1/2 S Myrtle Ave
Monrovia, CA 91016-5100
Phone
(909) 569-4561
Fax
(406) 586-8494
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Abid Rizvi, MD FACPNPI 1255582540
Title
Owner
Phone
(909) 542-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

503 1/2 S Myrtle Ave
Monrovia, CA 91016-5100

Mailing address

5050 Palo Verde St Ste 212
Montclair, CA 91763-2334
Phone (909) 569-4561

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827000979 CA Part B Supplier - Clinic/Group Practice 2567963192 Receives reassigned benefits from 4 practitioners
Practice locations: Monrovia, CA; Pomona, CA; Upland, CA; Walnut, CA

National Provider Directory

National Provider Directory

Locations

503 S Myrtle Ave
Monrovia, CA 91016
Phone (626) 319-2647

Practitioners & affiliated clinicians

Practitioners 4

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": "1776384000000",
    "number": "1891687638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST STE 212",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632334",
            "telephone_number": "909-569-4561",
            "fax_number": "406-586-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 1/2 S MYRTLE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165100",
            "telephone_number": "909-569-4561",
            "fax_number": "406-586-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WOUND CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "ABID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-542-2777",
        "authorized_official_credential": "MD FACP"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 17, 2026; 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.