SNF Wound Care - Medicare Primary Care in Los Angeles, CA

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SNF Wound Care is a medicare enrolled primary clinic (Internal Medicine) in Los Angeles, California. The current practice location for SNF Wound Care is 11270 Exposition Blvd Fl 1, Box: 641519, Los Angeles, California. For appointments, you can reach them via phone at (833) 379-6863. The mailing address for SNF Wound Care is Po Box 641519, Los Angeles, California and phone number is (833) 379-6863.

SNF Wound Care is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1114393311. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (833) 379-6863.

Contact Information

SNF Wound Care
11270 Exposition Blvd Fl 1
Box: 641519
Los Angeles
CA 90064-3255
(833) 379-6863
(833) 379-6863

Map and Direction


Primary Care Clinic Profile

Full NameSNF Wound Care
SpecialityInternal Medicine
Location11270 Exposition Blvd Fl 1, Los Angeles, California
Authorized Official Name and PositionPayam M Tehrani (OWNER)
Authorized Official Contact8333796863
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
SNF Wound Care
Po Box 641519
Los Angeles
CA 90064-6519

Ph: (833) 379-6863		SNF Wound Care
11270 Exposition Blvd Fl 1
Box: 641519
Los Angeles
CA 90064-3255

Ph: (833) 379-6863

NPI Details:

NPI Number1114393311
Provider Enumeration Date08/11/2015
Last Update Date01/02/2026
Certification Date01/02/2026

Medicare PECOS Information:

Medicare PECOS PAC ID1759699176
Medicare Enrollment IDO20151006000251

Medical Identifiers

Medical identifiers for SNF Wound Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114393311NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. SNF Wound Care acts as a billing entity for following providers:
Provider NamePriscilla a Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871571612
PECOS PAC ID: 7416935325
Enrollment ID: I20040708000599
Provider NameJacquelin P Lai Yip
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1710958814
PECOS PAC ID: 2769458637
Enrollment ID: I20040902000884
Provider NameJames Patrick Ferstel
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1922102474
PECOS PAC ID: 8325005911
Enrollment ID: I20041215000575
Provider NameArudi L Prabhakar
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1396710075
PECOS PAC ID: 3274570437
Enrollment ID: I20050411000283
Provider NameSujuan Cai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699743815
PECOS PAC ID: 2062448798
Enrollment ID: I20050713000723
Provider NameOmar Coltrane Staples
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1700931631
PECOS PAC ID: 8123045051
Enrollment ID: I20051028001052
Provider NameAnn E Hutchings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760666226
PECOS PAC ID: 3678658705
Enrollment ID: I20080312000746
Provider NameSandra E Schmeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295972685
PECOS PAC ID: 4688725716
Enrollment ID: I20090630000383
Provider NameErin M Pascale
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1487882015
PECOS PAC ID: 6406900232
Enrollment ID: I20090813000379
Provider NameJesse P Gonzaga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649348921
PECOS PAC ID: 4082890348
Enrollment ID: I20110520000572
Provider NameKulbir Dhillon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720179450
PECOS PAC ID: 1456432780
Enrollment ID: I20120126000449
Provider NameJohn Sangmoah
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1659649341
PECOS PAC ID: 6305009846
Enrollment ID: I20120521000683
Provider NameRosaleen C Shelley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356527055
PECOS PAC ID: 6800043902
Enrollment ID: I20120824000264
Provider NameJudy L Lock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235354945
PECOS PAC ID: 5496907826
Enrollment ID: I20121212000191
Provider NamePayam M Tehrani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144511338
PECOS PAC ID: 6709005861
Enrollment ID: I20140923000272
Provider NameElika Derek
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1427280510
PECOS PAC ID: 3577792365
Enrollment ID: I20141215001501
Provider NameKevin F Bell
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1497159818
PECOS PAC ID: 5395068258
Enrollment ID: I20141229001276
Provider NameLee Bella a Mandap
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629477344
PECOS PAC ID: 7810210457
Enrollment ID: I20150106001556
Provider NameJohn Quigley
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1306235247
PECOS PAC ID: 0547581795
Enrollment ID: I20150916001052
Provider NameAmber L Janson
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1750753141
PECOS PAC ID: 2567762594
Enrollment ID: I20151124001432
Provider NameJohn D Pham
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1932153319
PECOS PAC ID: 8123929759
Enrollment ID: I20151201001022
Provider NameRose N Mwangi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841676434
PECOS PAC ID: 7416259031
Enrollment ID: I20160113001237
Provider NameWenli Brindle
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1811393382
PECOS PAC ID: 3678879426
Enrollment ID: I20160304000964
Provider NameConnie Marie Lapadat
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043511900
PECOS PAC ID: 4385872308
Enrollment ID: I20160829003082
Provider NameJessie Finch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457706236
PECOS PAC ID: 5193007698
Enrollment ID: I20170118000449
Provider NameEleanor Leal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174054076
PECOS PAC ID: 8729355821
Enrollment ID: I20170519002250
Provider NameEugene Butler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083015887
PECOS PAC ID: 2668693466
Enrollment ID: I20170919001970
Provider NameKelley Christian Booth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053830851
PECOS PAC ID: 1759640956
Enrollment ID: I20180116001339
Provider NameJulia K Morey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073032504
PECOS PAC ID: 1254692957
Enrollment ID: I20180220002240
Provider NameAmber Cravens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801309455
PECOS PAC ID: 7113288077
Enrollment ID: I20180309002196
Provider NameRussell Lopez Simon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659624948
PECOS PAC ID: 8224390380
Enrollment ID: I20180329002126
Provider NameDongyon Roh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043760069
PECOS PAC ID: 2769739911
Enrollment ID: I20180719002151
Provider NameTyler J Soga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447743943
PECOS PAC ID: 8022366418
Enrollment ID: I20180801001232
Provider NameAlejandra Villegas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942736186
PECOS PAC ID: 8820340334
Enrollment ID: I20181011001058
Provider NameGina Habeeb
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1801386149
PECOS PAC ID: 0244583987
Enrollment ID: I20181026002120
Provider NameErin M Crissman
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1306068168
PECOS PAC ID: 2769789205
Enrollment ID: I20181101001969
Provider NameFrancis D Antigua
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346777695
PECOS PAC ID: 5991042061
Enrollment ID: I20190128001609
Provider NameJacqueline Lomibao Kraetzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811462088
PECOS PAC ID: 0749516342
Enrollment ID: I20190719000299
Provider NameKevin P Byrne
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1306499272
PECOS PAC ID: 1658703863
Enrollment ID: I20191108001363
Provider NameDouglas P. Frechtman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538578109
PECOS PAC ID: 6103258975
Enrollment ID: I20191115001721
Provider NameGamiel Alamares
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700391190
PECOS PAC ID: 0648603829
Enrollment ID: I20191202000635
Provider NameInna Gisin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184124448
PECOS PAC ID: 3870854169
Enrollment ID: I20200406001317
Provider NamePhong Duy Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316502297
PECOS PAC ID: 0749619997
Enrollment ID: I20200409000369
Provider NameMichelle K West
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821530163
PECOS PAC ID: 9335491117
Enrollment ID: I20200416000782
Provider NameBrittany Rae Rollins Hoang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487290789
PECOS PAC ID: 1153742457
Enrollment ID: I20200521002052
Provider NameAnne Chan
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1790301059
PECOS PAC ID: 7719300532
Enrollment ID: I20200710002964
Provider NameRachelle Diosdado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932714987
PECOS PAC ID: 0749609196
Enrollment ID: I20201002002825
Provider NameLeonard Iskander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902419575
PECOS PAC ID: 3072926922
Enrollment ID: I20210113002438
Provider NameJagjiwan Kaur Dhatt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669081337
PECOS PAC ID: 1658785274
Enrollment ID: I20210122000092
Provider NameJessica a Batterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093327744
PECOS PAC ID: 3375957251
Enrollment ID: I20210204002109
Provider NameAnna Sabrina Paningbatan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063015162
PECOS PAC ID: 4688898554
Enrollment ID: I20210205001672
Provider NameKaren Kim Vuong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891312310
PECOS PAC ID: 3577972942
Enrollment ID: I20210514001908
Provider NameDoreen K Carrillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851948046
PECOS PAC ID: 6608202502
Enrollment ID: I20210611002245
Provider NameGeorge J Wang
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1447337118
PECOS PAC ID: 1254355159
Enrollment ID: I20210628002478
Provider NameAnthony Kao
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366014839
PECOS PAC ID: 6507269750
Enrollment ID: I20210726001209
Provider NameChristine Marie Moak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003395864
PECOS PAC ID: 2567893746
Enrollment ID: I20210819000000
Provider NameJason G Lee
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1194316604
PECOS PAC ID: 2466857024
Enrollment ID: I20210819001072
Provider NameMy Van Luu Thi Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598383689
PECOS PAC ID: 8921496910
Enrollment ID: I20211025000764
Provider NamePearlita Ranada Santiago
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154994689
PECOS PAC ID: 0840680310
Enrollment ID: I20211124001838
Provider NameStacy Kathleen Brinkmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346893310
PECOS PAC ID: 2961893458
Enrollment ID: I20211216001345
Provider NameMaricel Deveza Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174292874
PECOS PAC ID: 2769873645
Enrollment ID: I20220104000628
Provider NameCatherine Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629734496
PECOS PAC ID: 7416340377
Enrollment ID: I20220217001138
Provider NameRovin Santos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306492368
PECOS PAC ID: 7012301427
Enrollment ID: I20220301001901
Provider NameSilvia Echeveste
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205241528
PECOS PAC ID: 6709271109
Enrollment ID: I20220322002055
Provider NameMelanie Artinian
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1568132736
PECOS PAC ID: 8426443508
Enrollment ID: I20220328002466
Provider NameKeshav R Khadka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306594478
PECOS PAC ID: 0547648479
Enrollment ID: I20220606002852
Provider NameSarah Van Leuven
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013676667
PECOS PAC ID: 9537555271
Enrollment ID: I20220620001253
Provider NameSalaiman Rasoli
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1245976943
PECOS PAC ID: 6103205026
Enrollment ID: I20220623002876
Provider NameRobert E Bell
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1255671186
PECOS PAC ID: 9537304977
Enrollment ID: I20220705000062
Provider NameJesus Sabala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881274512
PECOS PAC ID: 5193106045
Enrollment ID: I20220722002615
Provider NameJohn T Luong
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1477279883
PECOS PAC ID: 9537536586
Enrollment ID: I20221103000489
Provider NamePamela Marie Gossman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922047976
PECOS PAC ID: 4880669050
Enrollment ID: I20221221002708
Provider NameAlicia Marjourie Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164194247
PECOS PAC ID: 9537534029
Enrollment ID: I20230414001994
Provider NameGrace Mardikian
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1427703008
PECOS PAC ID: 8628436854
Enrollment ID: I20230621001463
Provider NameValentin De Anda
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1578237327
PECOS PAC ID: 4486014347
Enrollment ID: I20230724003338
Provider NameGeoffrey Benin De Castro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174236756
PECOS PAC ID: 3173987807
Enrollment ID: I20230914001349
Provider NameTamara S Pippin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508569567
PECOS PAC ID: 8628422532
Enrollment ID: I20231012000085
Provider NameKimberly Tran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992574156
PECOS PAC ID: 0941652804
Enrollment ID: I20240117001140
Provider NameLaurinda Enuyami Coker-howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891574877
PECOS PAC ID: 7315386281
Enrollment ID: I20240411004880
Provider NameStephanie-ann Marie Sarlo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558943944
PECOS PAC ID: 2769821008
Enrollment ID: I20240418003073
Provider NameMarissa Manansala Aranzaso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730684655
PECOS PAC ID: 9739411224
Enrollment ID: I20240506003287
Provider NameBenjamin Lee
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1316652092
PECOS PAC ID: 4183066822
Enrollment ID: I20240524003379
Provider NameKristopher Soriano Padilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174302350
PECOS PAC ID: 7012450356
Enrollment ID: I20240614003058
Provider NameEyana D Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740062041
PECOS PAC ID: 0143764845
Enrollment ID: I20240705002006
Provider NameJulius Timothy Yorac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124890843
PECOS PAC ID: 5890227326
Enrollment ID: I20241022001775
Provider NameChristiane M Waters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720627912
PECOS PAC ID: 4385070705
Enrollment ID: I20241023002364
Provider NamePhilip Ngoc Vu
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1902669559
PECOS PAC ID: 2466985643
Enrollment ID: I20241025002604
Provider NameKatrina Joy Domingo
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1386463677
PECOS PAC ID: 9931632189
Enrollment ID: I20241028001316
Provider NameSheeja George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508309782
PECOS PAC ID: 6305370610
Enrollment ID: I20241108002766
Provider NameCarrie Michelle Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528432952
PECOS PAC ID: 9931632239
Enrollment ID: I20241113001207
Provider NameHelena M Dai
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1225689649
PECOS PAC ID: 0547794257
Enrollment ID: I20241115004138
Provider NameMarlis Juliet Hamory
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043990237
PECOS PAC ID: 5496279069
Enrollment ID: I20250404002834
Provider NameJavier Eirin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083432207
PECOS PAC ID: 9234636820
Enrollment ID: I20251009001117
Provider NameJanet Tapia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861371189
PECOS PAC ID: 5890289870
Enrollment ID: I20251209000735

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.