MC WOUND CARE
NPI 1366339699
Nurse Practitioner - Family in Glendale, CA

Active since June 19, 2025
225 E BROADWAY STE 303C, GLENDALE, CA 91205(213) 282-6886 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2025, Jun 19, 2025 (2 updates tracked since 2025).

About Mc Wound Care NPPES

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

MC WOUND CARE (NPI 1366339699) is a healthcare organization registered as a family in Glendale, California and active in the NPI registry since June 2025. The organization lists Shahen Tavakalyan, President, as its authorized official.

NPPES Registry Identity

NPI1366339699
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMC WOUND CARE
Location Address225 E BROADWAY STE 303CGlendale, CA 91205-4099
Mailing Address225 E Broadway Ste 303cGlendale, CA 91205-4099 · (213) 282-6886
Organization SubpartNo
Authorized OfficialShahen TavakalyanPresident · (213) 282-6886
Enumeration DateJune 19, 2025
Last NPPES UpdateAugust 9, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1366339699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
225 E BROADWAY STE 303C, Glendale, CA 91205

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)

Mc Wound Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mc Wound Care, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1033691944
435 ARDEN AVE STE 550
Glendale, CA 91203
(818) 242-3916
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1245066620
10131 FERNGLEN AVE
Tujunga, CA 91042
(818) 669-3848
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1487287645
7451 LANKERSHIM BLVD
North Hollywood, CA 91605
(818) 503-9800
✔ PECOS✔ Accepts Medicare8.8 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 Mc Wound Care's NPI number?

The NPI number for Mc Wound Care is 1366339699. It was assigned to this organization in the NPPES registry on June 19, 2025.

Where is Mc Wound Care located?

Mc Wound Care is located at 225 E Broadway Ste 303C, Glendale, CA 91205. The listed phone number is (213) 282-6886.

What is Mc Wound Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mc Wound Care enrolled in Medicare?

Yes. Mc Wound Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mc Wound Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mc Wound Care. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mc Wound Care was last updated on August 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.