SUPPORTIVE WOUND CARE, INC
NPI 1891545083
Clinic/Center in Upland, CA
About Supportive Wound Care, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPPORTIVE WOUND CARE, INC (NPI 1891545083) is a healthcare organization registered as a clinic/center in Upland, California and active in the NPI registry since March 2024. The organization lists Lior Matian, Ceo, 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)
Supportive Wound Care, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Supportive Wound Care, Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Supportive Wound Care, Inc's NPI number?
The NPI number for Supportive Wound Care, Inc is 1891545083. It was assigned to this organization in the NPPES registry on March 22, 2024.
Where is Supportive Wound Care, Inc located?
Supportive Wound Care, Inc is located at 1202 Monte Vista Ave Ste 6, Upland, CA 91786. The listed phone number is (310) 435-7575.
What is Supportive Wound Care, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Supportive Wound Care, Inc enrolled in Medicare?
Yes. Supportive Wound Care, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Supportive Wound Care, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Supportive Wound Care, Inc, in Family Practice, Internal Medicine 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.
When was this NPI record last updated?
The NPPES record for Supportive Wound Care, Inc was last updated on March 22, 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.
# Supportive Wound Care, Inc · NPI 1891545083
Clinic/Center organization in Upland, California. Organization record, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1891545083 (Entity type: Organization)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Lior Matian, CEO
## Practice location
- **Address:** 1202 MONTE VISTA AVE STE 6, Upland, CA 91786-8209
- **Phone:** (310) 435-7575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891545083) · Data from the CMS NPPES public registry.