Elite Wound Specialist PC
NPI 1154148997 · Health Service Clinic/Center · Van Nuys, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Wound Specialist PC is a Health Service Clinic/Center organization in Van Nuys, CA (NPI 1154148997).
Provider details
- NPI number
- 1154148997
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shima Pezeshki, Shareholder(310) 500-9068
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
1 yr in NPPES 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
- 2024-09-23
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Frequently asked questions
- What is Elite Wound Specialist PC's NPI number?
- Elite Wound Specialist PC's National Provider Identifier (NPI) is 1154148997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Wound Specialist PC?
- Elite Wound Specialist PC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Elite Wound Specialist PC located?
- Elite Wound Specialist PC's practice location on file with NPPES is 14553 Delano St Ste 306, Van Nuys, CA 91411-2858.
- What is Elite Wound Specialist PC's phone number?
- The practice phone number listed in the NPPES registry for Elite Wound Specialist PC is (310) 621-9038.
- Does Elite Wound Specialist PC accept Medicare?
- Elite Wound Specialist PC 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 Elite Wound Specialist PC?
- The authorized official listed on Elite Wound Specialist PC's NPPES record is Shima Pezeshki, Shareholder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Wound Specialist PC's NPI active?
- Yes — Elite Wound Specialist PC's NPI (1154148997) is active in the NPPES registry as of the last update on 2026-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.