| Wound MD PC | |
|
2 Borazon Ct Petaluma CA 94952-5289 | |
| (323) 800-2799 | |
| (216) 273-9998 |
| Full Name | Wound MD PC |
|---|---|
| Speciality | General Practice |
| Location | 2 Borazon Ct, Petaluma, California |
| Authorized Official Name and Position | Fernando Antelo (OWNER/CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3238002799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound MD PC 6150 Parkland Blvd Ste 225 Mayfield Heights OH 44124-4103 Ph: (216) 273-9800 | Wound MD PC 2 Borazon Ct Petaluma CA 94952-5289 Ph: (323) 800-2799 |
| NPI Number | 1942606744 |
|---|---|
| Provider Enumeration Date | 11/06/2014 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 8820314529 |
|---|---|
| Medicare Enrollment ID | O20150223001584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942606744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Elijah Mobley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528034212 PECOS PAC ID: 4981508207 Enrollment ID: I20031119000929 |
| Provider Name | Robyn Anne Lakamsani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073786315 PECOS PAC ID: 0941271233 Enrollment ID: I20040803001081 |
| Provider Name | Derek P Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184671513 PECOS PAC ID: 7618918830 Enrollment ID: I20050518000803 |
| Provider Name | Monica L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467496919 PECOS PAC ID: 4082615398 Enrollment ID: I20070212000707 |
| Provider Name | Gail C Salganick-erfani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912976622 PECOS PAC ID: 7315837697 Enrollment ID: I20070716000404 |
| Provider Name | John Fu-tsun Hsu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093038135 PECOS PAC ID: 0749319382 Enrollment ID: I20100520000289 |
| Provider Name | Gabriel Carabello |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164453320 PECOS PAC ID: 3577756600 Enrollment ID: I20101102000967 |
| Provider Name | Jeffrey E Deweese |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326072893 PECOS PAC ID: 4981892759 Enrollment ID: I20101221000032 |
| Provider Name | Avni Bansi Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20111101000086 |
| Provider Name | Naomi Torgersen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972675627 PECOS PAC ID: 8123294873 Enrollment ID: I20111229000445 |
| Provider Name | John O Simmonds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801195912 PECOS PAC ID: 1254593130 Enrollment ID: I20120511000418 |
| Provider Name | Fernando Antelo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295927887 PECOS PAC ID: 3274796800 Enrollment ID: I20120518000273 |
| Provider Name | Alvin May |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184884876 PECOS PAC ID: 0547411936 Enrollment ID: I20121112000615 |
| Provider Name | Jason Sachman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417275702 PECOS PAC ID: 3870812449 Enrollment ID: I20150501001935 |
| Provider Name | Patricia Lutfy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497024061 PECOS PAC ID: 1355656943 Enrollment ID: I20150811004817 |
| Provider Name | Richard Rodney Foy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174598262 PECOS PAC ID: 0648177634 Enrollment ID: I20170821001789 |
| Provider Name | Eurides I.f Lopes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447511803 PECOS PAC ID: 3577852284 Enrollment ID: I20180405000593 |
| Provider Name | Marissa a De Freese |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194963462 PECOS PAC ID: 3072709138 Enrollment ID: I20180830003141 |
| Provider Name | Kumar S Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821369877 PECOS PAC ID: 0244583482 Enrollment ID: I20181105002751 |
| Provider Name | Alexander Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043752751 PECOS PAC ID: 3779868062 Enrollment ID: I20190430003111 |
| Provider Name | Alexander F Simopoulos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801002969 PECOS PAC ID: 2365784899 Enrollment ID: I20190501003335 |
| Provider Name | Nandlal M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891702734 PECOS PAC ID: 9537201660 Enrollment ID: I20190618003505 |
| Provider Name | Brittni C Moroyoqui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025631 PECOS PAC ID: 2062742281 Enrollment ID: I20191001000868 |
| Provider Name | Shwe Pyae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891344917 PECOS PAC ID: 5890129258 Enrollment ID: I20191218002384 |
| Provider Name | Debra L Stafford |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003994294 PECOS PAC ID: 5193150886 Enrollment ID: I20200128001013 |
| Provider Name | Majdi L Adulmaula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295260529 PECOS PAC ID: 8527335314 Enrollment ID: I20200707002394 |
| Provider Name | Brian M Cullison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952357097 PECOS PAC ID: 7618881673 Enrollment ID: I20210816003519 |
| Provider Name | George T Drugas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558398347 PECOS PAC ID: 3971693722 Enrollment ID: I20210922002137 |
| Provider Name | Ann Amukele |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669623153 PECOS PAC ID: 2668866062 Enrollment ID: I20220301001476 |
| Provider Name | Karen Johnston |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326518325 PECOS PAC ID: 7810226420 Enrollment ID: I20220818000761 |
| Provider Name | Philip Cardan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134446966 PECOS PAC ID: 9133420144 Enrollment ID: I20221012003621 |
| Provider Name | Okiemute H Vukadinovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316677495 PECOS PAC ID: 8224493119 Enrollment ID: I20230427003090 |
| Provider Name | Sloane Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487354957 PECOS PAC ID: 6002273687 Enrollment ID: I20230613002874 |
| Provider Name | Rachel Seeds |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326475799 PECOS PAC ID: 4385876994 Enrollment ID: I20230707000747 |
| Provider Name | Rajeev Kaul |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336198183 PECOS PAC ID: 6608889928 Enrollment ID: I20240401003385 |
| Provider Name | Pamela Ann Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881309045 PECOS PAC ID: 5799222683 Enrollment ID: I20250717001587 |
| Provider Name | Maryam Saheb-al-zamani |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205312105 PECOS PAC ID: 1759634173 Enrollment ID: I20250815001165 |
| Provider Name | Magid Keramati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750584371 PECOS PAC ID: 4880730399 Enrollment ID: I20260515002725 |
Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Lynch Creek Way, Ste 10, Petaluma, CA 94954 Phone: 707-782-9123 Fax: 707-782-9622 |
Petaluma Eye Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1225 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 |
Ranadive MD Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Lynch Creek Way Ste C, Petaluma, CA 94954 Phone: 707-763-0802 Fax: 707-763-0803 |
Nikola Lozanov MD Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Lynch Creek Way Ste 4, Petaluma, CA 94954 Phone: 707-782-1244 Fax: 707-782-1163 |
Headwaters Medical Therapy Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 Industrial Ave, Petaluma, CA 94952 Phone: 707-565-8188 Fax: 707-565-8190 |
Vivacitas Medical Group PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954 Phone: 707-766-9852 |