NPIMap

Organization Active NPI

FM Woundcare Inc

  • General Practice Physician
  • Lomita, CA
National Provider Identifier
1982409579
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FM WOUNDCARE INC
Practice address
2254 250TH St
Lomita, CA 90717-2138
Phone
(310) 955-8213
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Farah Bangash
Title
Owner
Phone
(310) 955-8213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2254 250TH St
Lomita, CA 90717-2138

Mailing address

2254 250TH St
Lomita, CA 90717-2138

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250317002541 CA Part B Supplier - Clinic/Group Practice 9234651597 Receives reassigned benefits from 17 practitioners
Practice locations: Lomita, CA

National Provider Directory

National Provider Directory

Locations

25711 Eshelman Ave
Ste D
Lomita, CA 90717

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1982409579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 250TH ST",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 250TH ST",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172138",
            "telephone_number": "310-955-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM WOUNDCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "BANGASH",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-955-8213"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

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