Active NPI
Advanced Skin & Wound Specialists
- Dermatology Physician
- Garden Grove, CA
National Provider Identifier
1922903194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ADVANCED SKIN & WOUND SPECIALISTS
- Practice address
- 14331 Euclid St Ste 204
Garden Grove, CA 92843-6509 - Phone
- (630) 808-5123
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raza Mehdi, M.D.
- Title
- President
- Phone
- (630) 808-5123
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary | |
| Family Medicine Physician | 207Q00000X | NU |
Addresses
Primary practice location
14331 Euclid St Ste 204
Garden Grove, CA 92843-6509
Mailing address
14331 Euclid St Ste 204
Garden Grove, CA 92843-6509
Phone (630) 808-5123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1922903194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14331 EUCLID ST STE 204",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928436509",
"telephone_number": "630-808-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14331 EUCLID ST STE 204",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928436509",
"telephone_number": "630-808-5123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SKIN & WOUND SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "MEHDI",
"authorized_official_first_name": "RAZA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-808-5123",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
- Advanced Center for Urology Inc
- Advanced Eye Care & Cosmetics Inc
- Advanced Healthcare Pharmacy Inc (Advanced Healthcare Pharmacy)
- Advanced Healthnet Center
- Advanced Home Care Medical Supply
- Advanced Sleep Medicine Services Inc
- Advanced Surgical Care Medical Corporation
- Advans Cpap Inc
- Advantage Health Care HIV & Compounding Inc (Garden Grove Community Pharmacy)
- Advocare Home Health, Corp.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.