| Wound Mobile Care | |
|
3655 Alamo St Ste 202 Simi Valley CA 93063-2187 | |
| (805) 702-3323 | |
| (805) 702-7903 |
| Full Name | Wound Mobile Care |
|---|---|
| Speciality | General Practice |
| Location | 3655 Alamo St Ste 202, Simi Valley, California |
| Authorized Official Name and Position | Benjamin Art (CEO) |
| Authorized Official Contact | 8057023323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Mobile Care 3655 Alamo St Ste 202 Simi Valley CA 93063-2187 Ph: (805) 702-3323 | Wound Mobile Care 3655 Alamo St Ste 202 Simi Valley CA 93063-2187 Ph: (805) 702-3323 |
| NPI Number | 1164388773 |
|---|---|
| Provider Enumeration Date | 12/27/2025 |
| Last Update Date | 08/07/2026 |
| Certification Date | 08/07/2026 |
| Medicare PECOS PAC ID | 4284117482 |
|---|---|
| Medicare Enrollment ID | O20260316003922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164388773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Nyssa J Fromuth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568814408 PECOS PAC ID: 6305132374 Enrollment ID: I20160831001799 |
| Provider Name | Rebie L Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497328686 PECOS PAC ID: 3971953076 Enrollment ID: I20240102003478 |
| Provider Name | Marine M Gasparian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619843372 PECOS PAC ID: 3173052891 Enrollment ID: I20260406002753 |
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