Moderm Wound Care Specialist LLC
NPI 1538043211 · General Practice Physician · San Jacinto, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Moderm Wound Care Specialist LLC is a General Practice Physician organization in San Jacinto, CA (NPI 1538043211).
Provider details
- NPI number
- 1538043211
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tamara Pippin, Owner(888) 211-1498
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
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
- 2025-08-04
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Frequently asked questions
- What is Moderm Wound Care Specialist LLC's NPI number?
- Moderm Wound Care Specialist LLC's National Provider Identifier (NPI) is 1538043211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moderm Wound Care Specialist LLC?
- Moderm Wound Care Specialist LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Moderm Wound Care Specialist LLC located?
- Moderm Wound Care Specialist LLC's practice location on file with NPPES is 2263 Finch Cir, San Jacinto, CA 92582-6964.
- What is Moderm Wound Care Specialist LLC's phone number?
- The practice phone number listed in the NPPES registry for Moderm Wound Care Specialist LLC is (888) 211-1498.
- Does Moderm Wound Care Specialist LLC accept Medicare?
- Moderm Wound Care Specialist LLC 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 Moderm Wound Care Specialist LLC?
- The authorized official listed on Moderm Wound Care Specialist LLC's NPPES record is Tamara Pippin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moderm Wound Care Specialist LLC's NPI active?
- Yes — Moderm Wound Care Specialist LLC's NPI (1538043211) is active in the NPPES registry as of the last update on 2025-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.