NPIMap

Organization Active NPI

Pacific Mobile Wound Care

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1952102519
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PACIFIC MOBILE WOUND CARE
Practice address
1100 E Orangethorpe Ave Ste 252K
Anaheim, CA 92801-1164
Phone
(562) 388-8458
NPI assigned
Mar 20, 2025
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Jeffrey Felgner, M.D.NPI 1790122497
Title
President
Phone
(949) 478-2437

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1100 E Orangethorpe Ave Ste 252K
Anaheim, CA 92801-1164

Mailing address

1100 E Orangethorpe Ave Ste 252K
Anaheim, CA 92801-1164
Phone (562) 388-8458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520002674 CA Part B Supplier - Clinic/Group Practice 1557889854 Receives reassigned benefits from 10 practitioners
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

1100 E Orangethorpe Ave
Ste 252K
Anaheim, CA 92801
Phone (562) 388-8458

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1952102519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E ORANGETHORPE AVE STE 252K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011164",
            "telephone_number": "562-388-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E ORANGETHORPE AVE STE 252K",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011164",
            "telephone_number": "562-388-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MOBILE WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "FELGNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-478-2437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.