1. Home
  2. Directory
  3. California
  4. Livermore
  5. Dermatology
  6. NPI Profile

ADVANCED WOUND CARE AND HEALING PC
NPI 1053128553
Dermatology in Livermore, CA

Active since December 17, 2024
1025 EVE LN, LIVERMORE, CA 94550(877) 427-8089 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Wound Care And Healing Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED WOUND CARE AND HEALING PC (NPI 1053128553) is a healthcare organization registered as a dermatology in Livermore, California and active in the NPI registry since December 2024. The organization lists Mark Kaufmann, Owner, as its authorized official.

NPPES Registry Identity

NPI1053128553
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED WOUND CARE AND HEALING PC
Location Address1025 EVE LNLivermore, CA 94550-3531
Mailing Address1025 Eve LnLivermore, CA 94550-3531 · (925) 200-6006
Phone(877) 427-8089
Organization SubpartNo
Authorized OfficialMark KaufmannOwner · (877) 427-8089
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1053128553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1025 EVE LN, Livermore, CA 94550
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Wound Care And Healing Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Advanced Wound Care And Healing PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Parul Puri, FNP-BC, DNP
Nurse Practitioner
NPI 1457902017
1495 RIVER PARK DR STE 200
Sacramento, CA 95815
(916) 925-7020
✔ PECOS65 mi
Ileana Deftu, MD
Internal Medicine
NPI 1356568711
961 KUENZLI ST
Reno, NV 89502
(775) 470-7200
✔ PECOS✔ Accepts Medicare165 mi
Angela Miller, APRN
Nurse Practitioner
NPI 1134480247
961 KUENZLI ST
Reno, NV 89502
(775) 470-7200
✔ PECOS✔ Accepts Medicare165 mi
Julie Rowan, APRN, FNP-BC
Nurse Practitioner
NPI 1871923532
248 COUNTRY CLUB PKWY
Spring Creek, NV 89815
(775) 777-1276
✔ PECOS✔ Accepts Medicare391 mi
Kimberly Wilms, D.P.M.
Podiatry
NPI 1134306475
1138 OLYMPIA AVENUE UNIT B
Longmont, CO 80504
(419) 788-2396
✔ PECOS913 mi
Elissa Klein
Nurse Practitioner
NPI 1235002072
4607 65TH ST
Lubbock, TX 79414
(512) 818-5475
✔ PECOS1,150 mi
Christina Bell, FNP
Nurse Practitioner
NPI 1215563929
5575 WARREN PKWY STE 115
Frisco, TX 75034
(972) 591-6468
✔ PECOS1,436 mi
Amanda Aguilar, FNP-BC
Nurse Practitioner
NPI 1033753306
8210 WALNUT HILL LN STE 505
Dallas, TX 75231
(214) 345-4160
✔ PECOS✔ Accepts Medicare1,445 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Wound Care And Healing PC's NPI number?

The NPI number for Advanced Wound Care And Healing PC is 1053128553. It was assigned to this organization in the NPPES registry on December 17, 2024.

Where is Advanced Wound Care And Healing PC located?

Advanced Wound Care And Healing PC is located at 1025 Eve Ln, Livermore, CA 94550. The listed phone number is (877) 427-8089.

What is Advanced Wound Care And Healing PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Advanced Wound Care And Healing PC enrolled in Medicare?

Yes. Advanced Wound Care And Healing PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Wound Care And Healing PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Wound Care And Healing PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Internal Medicine (1) and Podiatry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Wound Care And Healing PC was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.