| Mobile Wound Care | |
|
2629 Strandway San Diego CA 92109 | |
| (860) 227-0611 | |
| Not Available |
| Full Name | Mobile Wound Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2629 Strandway, San Diego, California |
| Authorized Official Name and Position | Nicholas Bai (CEO) |
| Authorized Official Contact | 8602270611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Wound Care 3288 Adams Ave #16404 San Diego CA 92176-7018 Ph: (860) 227-0611 | Mobile Wound Care 2629 Strandway San Diego CA 92109 Ph: (860) 227-0611 |
| NPI Number | 1477932978 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 6507178514 |
|---|---|
| Medicare Enrollment ID | O20150706001251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477932978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 52091 (California) | Secondary |
| Provider Name | Melissa A Brito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730580853 PECOS PAC ID: 9739404799 Enrollment ID: I20150213001686 |
| Provider Name | Debra J Hexom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801218102 PECOS PAC ID: 6103143789 Enrollment ID: I20150318002659 |
| Provider Name | Phillip Stephen Garibotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386107712 PECOS PAC ID: 3375877970 Enrollment ID: I20190702002161 |
| Provider Name | Dean Shehadeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942688429 PECOS PAC ID: 9830421536 Enrollment ID: I20191030001041 |
| Provider Name | Mason Bryan Chew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184333080 PECOS PAC ID: 6800265695 Enrollment ID: I20221219001055 |
| Provider Name | Lyndsey Marie Alvut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700568953 PECOS PAC ID: 0446606610 Enrollment ID: I20231024002005 |
Revivify Restorative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 | |
San Diego Digestive Disease Consultants, Inc. A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8008 Frost St, Ste 200, San Diego, CA 92123 Phone: 858-292-7527 Fax: 858-292-7804 |