Vital Wound Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

VITAL WOUND CARE

Practice address

10324 Balboa Blvd Ste 100
Granada Hills, CA 91344-7349

Phone

(310) 666-2392

NPI assigned

Sep 19, 2024

Last updated

Sep 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Davit Hakobyan

Title

Manager

Phone

(310) 666-2392

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, and the practitioner matching its NPPES authorized official.

• Mkrtich Patatanyan, DO

  • Hospitalist Physician
  • Norton, VA
  • NPI 1750860466

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726963200000",
    "number": "1912734237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 BALBOA BLVD STE 100",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447349",
            "telephone_number": "310-666-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 BALBOA BLVD STE 100",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447349",
            "telephone_number": "310-666-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "HAKOBYAN",
        "authorized_official_first_name": "DAVIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-666-2392"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mia Vitte, MA, MFT
• Viva Med LLC.
• Vons Companies Inc (Vons Pharmacy #2250)
• Rain Elizabeth Wald, LMFT
• Walgreen Co (Walgreens #05566)

• Nursing Care Agency in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.