Organization Active NPI

Premier Wound Corporation

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1982416202
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PREMIER WOUND CORPORATION
Practice address
490 Post St Ste 913
San Francisco, CA 94102-1410
Phone
(415) 915-7206
Fax
(415) 449-6418
NPI assigned
Jan 23, 2025
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Harlan South, MDNPI 1750438099
Title
Own
Phone
(415) 316-5510

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

490 Post St Ste 913
San Francisco, CA 94102-1410

Mailing address

490 Post St Ste 913
San Francisco, CA 94102-1410
Phone (415) 915-7206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251106005155 CA Part B Supplier - Clinic/Group Practice 6901396035 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

490 Post St
Ste 913
San Francisco, CA 94102
Phone (415) 397-1251

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1982416202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 913",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021410",
            "telephone_number": "415-915-7206",
            "fax_number": "415-449-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 913",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021410",
            "telephone_number": "415-915-7206",
            "fax_number": "415-449-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOUND CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "SOUTH",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_title_or_position": "OWN",
        "authorized_official_telephone_number": "415-316-5510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.