Moderm Wound Care Specialist LLC
NPI 1538043211ActiveOrganization· General Practice· San Jacinto, CA
General Practice in San Jacinto, California, registered in NPPES in August 2025. The authorized official on file is Tamara Pippin, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538043211 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2025 |
| Last updated in NPPES | Aug 4, 2025 |
| Certified by provider | Aug 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other general practitioners in San Jacinto
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