Advance Wound Care Pros
NPI 1629861844ActiveOrganization· Nurse Practitioner, Primary Care· Van Nuys, CA
Nurse Practitioner, Primary Care in Van Nuys, California, registered in NPPES in May 2025. The authorized official on file is Gevork Ekimyan, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629861844 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2025 |
| Last updated in NPPES | May 28, 2025 |
| Certified by provider | May 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Family Medicine, Adolescent Medicine | 207QA0000X | — | — |
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) |
|---|
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