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ELITE WOUND CARE & MEDICAL SERVICES, INC
NPI 1275211138
Clinic/Center - Medical Specialty in Sherman Oaks, CA

Active since July 10, 2023CLIA 05D2315329 · Waiver
4312 WOODMAN AVE STE 300, SHERMAN OAKS, CA 91423(747) 877-2788(747) 877-2886 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2024, Jul 20, 2023, Jul 10, 2023 (3 updates tracked since 2023).

About Elite Wound Care & Medical Services, Inc NPPES

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

ELITE WOUND CARE & MEDICAL SERVICES, INC (NPI 1275211138), doing business as Elite Wound Care, is a healthcare organization registered as a medical specialty in Sherman Oaks, California and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Julie S Grand, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275211138
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameELITE WOUND CARE & MEDICAL SERVICES, INC
Location Address4312 WOODMAN AVE STE 300Sherman Oaks, CA 91423-5514
Mailing Address4312 Woodman Ave Ste 300Sherman Oaks, CA 91423-5514 · (747) 877-2788 · Fax (747) 877-2886
Phone(747) 877-2788
Fax(747) 877-2886
Organization SubpartNo
Authorized OfficialJulie S GrandCeo · (818) 305-6998
Enumeration DateJuly 10, 2023
Last NPPES UpdateFebruary 11, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
✔ NPI 1275211138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4312 WOODMAN AVE STE 300, Sherman Oaks, CA 91423
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Other Names 1

Doing Business AsElite Wound Care

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Wound Care & Medical Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Elite Wound Care & Medical Services, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Julio Pebe, FNP-BC
Nurse Practitioner
NPI 1235915448
2390 FIG ST
Simi Valley, CA 93063
(818) 818-3910
✔ PECOS✔ Accepts Medicare18 mi
Andrew Jones, M.D., M.S.
Hospitalist
NPI 1437470465
7391 W CHARLESTON BLVD SUITE 140
Las Vegas, NV 89117
(702) 304-2144
✔ PECOS✔ Accepts Medicare227 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2315329

Elite Wound Care & Medical Services Inc · Sherman Oaks, CA
Active · expires Dec 10, 2026
CLIA Number05D2315329
Laboratory TypeClinic/Center
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorRajiv H. Bhuva
Laboratory Phone(747) 877-2788
Laboratory LocationElite Wound Care & Medical Services Inc4312 Woodman Ave Ste 300, Sherman Oaks, CA 91423
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elite Wound Care & Medical Services, Inc's NPI number?

The NPI number for Elite Wound Care & Medical Services, Inc is 1275211138. It was assigned to this organization in the NPPES registry on July 10, 2023. The provider is doing business as Elite Wound Care.

Where is Elite Wound Care & Medical Services, Inc located?

Elite Wound Care & Medical Services, Inc is located at 4312 Woodman Ave Ste 300, Sherman Oaks, CA 91423. The listed phone number is (747) 877-2788.

What is Elite Wound Care & Medical Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Elite Wound Care & Medical Services, Inc enrolled in Medicare?

Yes. Elite Wound Care & Medical Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Wound Care & Medical Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Elite Wound Care & Medical Services, Inc, in Hospitalist and Nurse Practitioner. 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.

Does Elite Wound Care & Medical Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2315329) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Wound Care & Medical Services, Inc was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.