STELLAR WOUND SOLUTIONS
NPI 1720969033
Family Medicine in Encino, CA
About Stellar Wound Solutions NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STELLAR WOUND SOLUTIONS (NPI 1720969033) is a healthcare organization registered as a family medicine in Encino, California and active in the NPI registry since September 2025. The organization lists Charlie Canonigo, Ceo / Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stellar Wound Solutions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stellar Wound Solutions, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Stellar Wound Solutions's NPI number?
The NPI number for Stellar Wound Solutions is 1720969033. It was assigned to this organization in the NPPES registry on September 11, 2025.
Where is Stellar Wound Solutions located?
Stellar Wound Solutions is located at 5535 Balboa Blvd Ste 201, Encino, CA 91316. The listed phone number is (818) 804-8013.
What is Stellar Wound Solutions's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stellar Wound Solutions enrolled in Medicare?
Yes. Stellar Wound Solutions is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stellar Wound Solutions?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Stellar Wound Solutions. 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 Stellar Wound Solutions was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Stellar Wound Solutions · NPI 1720969033
Family Medicine organization in Encino, California. Organization record, active in the CMS NPPES registry since September 11, 2025.
## Identity
- **NPI:** 1720969033 (Entity type: Organization)
- **Enumerated:** September 11, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Sterling Peak Capital)
- **Authorized official:** Charlie Canonigo, CEO / ADMINISTRATOR
## Practice location
- **Address:** 5535 BALBOA BLVD STE 201, Encino, CA 91316-1525
- **Phone:** (818) 804-8013
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720969033) · Data from the CMS NPPES public registry.