| Wound Docs | |
|
27141 Aliso Creek Rd Ste 235 Aliso Viejo CA 92656-3360 | |
| (562) 800-3321 | |
| Not Available |
| Full Name | Wound Docs |
|---|---|
| Speciality | Surgery |
| Location | 27141 Aliso Creek Rd Ste 235, Aliso Viejo, California |
| Authorized Official Name and Position | Kevin Jackson (CEO) |
| Authorized Official Contact | 6105059702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Docs 27141 Aliso Creek Rd Ste 235 Aliso Viejo CA 92656-3360 | Wound Docs 27141 Aliso Creek Rd Ste 235 Aliso Viejo CA 92656-3360 Ph: (562) 800-3321 |
| NPI Number | 1629891676 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 03/02/2026 |
| Certification Date | 03/02/2026 |
| Medicare PECOS PAC ID | 2860928629 |
|---|---|
| Medicare Enrollment ID | O20241204001651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629891676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208600000X | Surgery | () | Primary |
| Provider Name | Dolores R Kent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366405276 PECOS PAC ID: 9032110549 Enrollment ID: I20070126000139 |
| Provider Name | Mahwash Hirmendi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073576765 PECOS PAC ID: 0648372904 Enrollment ID: I20070216000664 |
| Provider Name | David L Vannix |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013084979 PECOS PAC ID: 0648327122 Enrollment ID: I20090421000245 |
| Provider Name | Sam Alkass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841428042 PECOS PAC ID: 1052466596 Enrollment ID: I20090904000020 |
| Provider Name | Glenn R Romualdo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730229261 PECOS PAC ID: 5496934267 Enrollment ID: I20110125001283 |
| Provider Name | Rita E Starritt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548225964 PECOS PAC ID: 0244222826 Enrollment ID: I20111116000099 |
| Provider Name | Michael S Tehrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427320704 PECOS PAC ID: 6002031572 Enrollment ID: I20140626000844 |
| Provider Name | Ari R Youderian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083818173 PECOS PAC ID: 9537330527 Enrollment ID: I20140912001780 |
| Provider Name | Jose a Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942619325 PECOS PAC ID: 9638390180 Enrollment ID: I20141024002221 |
| Provider Name | Elizabeth M Hartman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033536594 PECOS PAC ID: 5698996064 Enrollment ID: I20141028002442 |
| Provider Name | Kevin Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326498361 PECOS PAC ID: 1254629579 Enrollment ID: I20170516001235 |
| Provider Name | Sarun Soon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972039444 PECOS PAC ID: 6406124106 Enrollment ID: I20170621002971 |
| Provider Name | Michael Mccoy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871857672 PECOS PAC ID: 4183995889 Enrollment ID: I20170728002135 |
| Provider Name | Adina Cho |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124510953 PECOS PAC ID: 0749531135 Enrollment ID: I20180925000188 |
| Provider Name | Maximillian Israel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982184669 PECOS PAC ID: 2466706163 Enrollment ID: I20181115002378 |
| Provider Name | Lillian Joy Hathaway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962987198 PECOS PAC ID: 7719231158 Enrollment ID: I20181121000574 |
| Provider Name | Michael Ginn Griesinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336556604 PECOS PAC ID: 0547507378 Enrollment ID: I20190131002129 |
| Provider Name | Patricia Korszyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972061729 PECOS PAC ID: 2567630536 Enrollment ID: I20190726000173 |
| Provider Name | Gamiel Alamares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700391190 PECOS PAC ID: 0648603829 Enrollment ID: I20191202000635 |
| Provider Name | Sharon Cheptum Griesinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588140230 PECOS PAC ID: 1052746245 Enrollment ID: I20200116000773 |
| Provider Name | George Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255963146 PECOS PAC ID: 3678996147 Enrollment ID: I20200701001125 |
| Provider Name | Melissa Mustafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639715477 PECOS PAC ID: 5294153532 Enrollment ID: I20200917002623 |
| Provider Name | Robyn C Riggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205432150 PECOS PAC ID: 4284039660 Enrollment ID: I20210823003238 |
| Provider Name | Michael W Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457008211 PECOS PAC ID: 1355718230 Enrollment ID: I20221207002725 |
| Provider Name | Larry Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336858604 PECOS PAC ID: 2961876164 Enrollment ID: I20230329000837 |
| Provider Name | Maria Angela Garciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073190443 PECOS PAC ID: 3870968688 Enrollment ID: I20230410001664 |
| Provider Name | Ollie Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104084698 PECOS PAC ID: 3476707043 Enrollment ID: I20230501002893 |
| Provider Name | Samantha Carolyn Minkewicz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467106179 PECOS PAC ID: 8527425081 Enrollment ID: I20230530000497 |
| Provider Name | Grace Mardikian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427703008 PECOS PAC ID: 8628436854 Enrollment ID: I20230621001463 |
| Provider Name | Jayson Wisk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821415944 PECOS PAC ID: 0446608798 Enrollment ID: I20231127001647 |
| Provider Name | Armando J Cervantes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306473434 PECOS PAC ID: 4284084302 Enrollment ID: I20240102001019 |
| Provider Name | Frank Efrem Primus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366734618 PECOS PAC ID: 7214224047 Enrollment ID: I20240814002379 |
| Provider Name | Andrea Manoocheri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184445488 PECOS PAC ID: 0042747073 Enrollment ID: I20250102001998 |
| Provider Name | Luke Jacob L Narciso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528874401 PECOS PAC ID: 4688102262 Enrollment ID: I20250109003212 |
| Provider Name | Janet Tapia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861371189 PECOS PAC ID: 5890289870 Enrollment ID: I20251209000735 |
Concertohealth of Ohio LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Enterprise Ste 200, Aliso Viejo, CA 92656 Phone: 877-597-1440 Fax: 949-407-2010 |
Jim W Lam MD Prof Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27068 La Paz Rd, #454, Aliso Viejo, CA 92656 Phone: 949-581-2505 Fax: 949-581-3135 |
Healthcare Providers Reimbursement Administrators Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 City Lights Dr, Aliso Viejo, CA 92656 Phone: 949-891-5424 |
Karen H Fu MD, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mareblu, Suite 310, Aliso Viejo, CA 92656 Phone: 949-429-1213 Fax: 949-612-0263 |
Trinitas Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 Mareblu Ste 350, Aliso Viejo, CA 92656 Phone: 949-767-8834 |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mareblu, Suite 100, Aliso Viejo, CA 92656 Phone: 949-448-0656 Fax: 949-425-2465 |