Advanced Wound Care and Healing PC
NPI 1053128553ActiveOrganization· Dermatology· Livermore, CA
Dermatology in Livermore, California, registered in NPPES in December 2024. The authorized official on file is Mark Kaufmann, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1053128553 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2024 |
| Last updated in NPPES | Dec 17, 2024 |
| Certified by provider | Dec 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WA) |
|---|
Other Dermatology providers in Livermore
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- 1902069669