Specialty Wound Healing and Reconstruction Inc
NPI 1063109668ActiveOrganization· Plastic Surgery· Pasadena, CA
Plastic Surgery in Pasadena, California, registered in NPPES in April 2023. The authorized official on file is Sanjeev Puri, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063109668 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2023 |
| Last updated in NPPES | Mar 21, 2025 |
| Certified by provider | Mar 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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