Profound Wound Specialists Inc
NPI 1063394716 · Clinic/Center · Porter Ranch, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Profound Wound Specialists Inc is a Clinic/Center organization in Porter Ranch, CA (NPI 1063394716).
Provider details
- NPI number
- 1063394716
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andranik Gevorkyan, Ceo(310) 885-9888
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-23
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is Profound Wound Specialists Inc's NPI number?
- Profound Wound Specialists Inc's National Provider Identifier (NPI) is 1063394716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Profound Wound Specialists Inc?
- Profound Wound Specialists Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Profound Wound Specialists Inc located?
- Profound Wound Specialists Inc's practice location on file with NPPES is 11145 Tampa Ave Ste 27a, Porter Ranch, CA 91326-2274.
- What is Profound Wound Specialists Inc's phone number?
- The practice phone number listed in the NPPES registry for Profound Wound Specialists Inc is (818) 717-7181.
- Does Profound Wound Specialists Inc accept Medicare?
- Profound Wound Specialists Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Profound Wound Specialists Inc?
- The authorized official listed on Profound Wound Specialists Inc's NPPES record is Andranik Gevorkyan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Profound Wound Specialists Inc's NPI active?
- Yes — Profound Wound Specialists Inc's NPI (1063394716) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.