MOBILE WOUND CARE & MULTI-SPECIALTY MEDICAL GROUP
NPI 1093561938
Clinic/Center - Multi-Specialty in Los Angeles, CA

Q: What is Mobile Wound Care & Multi-Specialty Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since April 29, 2024

1425 W MANCHESTER AVE STE A, LOS ANGELES, CA 90047(626) 869-6050 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mobile Wound Care & Multi-specialty Medical Group NPPES

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

MOBILE WOUND CARE & MULTI-SPECIALTY MEDICAL GROUP (NPI 1093561938) is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since April 2024. The organization lists Daniel Shane Davidson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093561938

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameMOBILE WOUND CARE & MULTI-SPECIALTY MEDICAL GROUP

Location Address1425 W MANCHESTER AVE STE ALos Angeles, CA 90047-5436

Mailing Address1270 S Alfred St Unit 1064Los Angeles, CA 90035-2506 · (310) 212-1500

Phone(626) 869-6050

Organization SubpartNo

Authorized OfficialDaniel Shane DavidsonCeo · (310) 212-1500

Enumeration DateApril 29, 2024

NPPES CertifiedApril 29, 2024

✔ NPI 1093561938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

1425 W MANCHESTER AVE STE A, Los Angeles, CA 90047

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mobile Wound Care & Multi-specialty Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mobile Wound Care & Multi-Specialty Medical Group, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Ikechukwu Arene, M.D.

Internal Medicine

NPI 1801806674

5400 BALBOA BLVD STE 120
Encino, CA 91316

(818) 290-3289

✔ PECOS✔ Accepts Medicare18 mi

Emery Jamerson

Ophthalmology

NPI 1770042962

4445 MAGNOLIA AVE
Riverside, CA 92501

(951) 788-3000

✔ PECOS✔ Accepts Medicare53 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 Mobile Wound Care & Multi-Specialty Medical Group's NPI number?

The NPI number for Mobile Wound Care & Multi-Specialty Medical Group is 1093561938. It was assigned to this organization in the NPPES registry on April 29, 2024.

Where is Mobile Wound Care & Multi-Specialty Medical Group located?

Mobile Wound Care & Multi-Specialty Medical Group is located at 1425 W Manchester Ave Ste A, Los Angeles, CA 90047. The listed phone number is (626) 869-6050.

What is Mobile Wound Care & Multi-Specialty Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Mobile Wound Care & Multi-Specialty Medical Group enrolled in Medicare?

Yes. Mobile Wound Care & Multi-Specialty Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mobile Wound Care & Multi-Specialty Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mobile Wound Care & Multi-Specialty Medical Group, in Internal Medicine and Ophthalmology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mobile Wound Care & Multi-Specialty Medical Group was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.