California Wound Healing Medical Group Inc. - Medicare in Los Angeles, CA

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California Wound Healing Medical Group Inc. is a medicare enrolled "Physician Assistant - Surgical" provider in Los Angeles, California. Their current practice location is 3612 1/2 E First St, Los Angeles, California. You can reach out to their office (for appointments etc.) via phone at (323) 264-7796.

California Wound Healing Medical Group Inc. is licensed to practice in California (license number PA18760) and it also participates in the medicare program. California Wound Healing Medical Group Inc. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1235333972.

Contact Information

California Wound Healing Medical Group Inc.
3612 1/2 E First St,
Los Angeles, CA 90063-2326
(323) 264-7796
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCalifornia Wound Healing Medical Group Inc.
TypeFacility
SpecialityPhysician Assistant - Surgical
Location3612 1/2 E First St, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235333972
  • Provider Enumeration Date: 06/14/2007
  • Last Update Date: 02/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315033198
  • Enrollment ID: O20071010000465

Medical Identifiers

Medical identifiers for California Wound Healing Medical Group Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235333972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery E2446 (California)Secondary
363AS0400XPhysician Assistant - Surgical PA18760 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. California Wound Healing Medical Group Inc. acts as a billing entity for following providers:
Provider NameJoseph A Addiego
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1902907835
PECOS PAC ID: 0244290278
Enrollment ID: I20041015000357
Provider NameSteve M Tung
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1013060847
PECOS PAC ID: 1850310459
Enrollment ID: I20070301000116
Provider NameGeraldine L Harvey-leonard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780713487
PECOS PAC ID: 4385825306
Enrollment ID: I20110224000283
Provider NameGreta G Manila
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508962655
PECOS PAC ID: 0446294227
Enrollment ID: I20120720000410
Provider NameMariam Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619370194
PECOS PAC ID: 6800118431
Enrollment ID: I20141209001793
Provider NameKimberly Elyse Conley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164665550
PECOS PAC ID: 3375803463
Enrollment ID: I20180209002335
Provider NameAram Harijan
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1851528137
PECOS PAC ID: 0840541553
Enrollment ID: I20180919002090
Provider NameRegina W Speights
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982055430
PECOS PAC ID: 2163716077
Enrollment ID: I20190502002739
Provider NameJonas F Obispo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699350074
PECOS PAC ID: 2668874470
Enrollment ID: I20210715001325
Provider NameMy Van Luu Thi Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598383689
PECOS PAC ID: 8921496910
Enrollment ID: I20211025000764
Provider NameGreta Wangania
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760008452
PECOS PAC ID: 8921496514
Enrollment ID: I20211101002775
Provider NameMerry G Conserman-gayos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700556347
PECOS PAC ID: 4789073826
Enrollment ID: I20211111001589
Provider NameJoann Strang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760698575
PECOS PAC ID: 1658765847
Enrollment ID: I20220304000646
Provider NameRajdeep Sandhu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013473073
PECOS PAC ID: 0143604694
Enrollment ID: I20220831003612
Provider NameJeffrey L Halperin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841752649
PECOS PAC ID: 6901238435
Enrollment ID: I20230124002682
Provider NamePaul Kyung Cho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487374773
PECOS PAC ID: 0941672448
Enrollment ID: I20230209001818
Provider NameKatherine T. Nguyen-cluck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215707898
PECOS PAC ID: 2264871722
Enrollment ID: I20240416003575

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. California Wound Healing Medical Group Inc. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
California Wound Healing Medical Group Inc.
P O Box 2589,
San Gabriel, CA 91778-2589

Ph: () -		California Wound Healing Medical Group Inc.
3612 1/2 E First St,
Los Angeles, CA 90063-2326

Ph: (323) 264-7796

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.