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FAST TRACK WOUND CARE INC
NPI 1912706219
Internal Medicine in North Hollywood, CA

Active since March 10, 2025
12444 VICTORY BLVD STE 425, NORTH HOLLYWOOD, CA 91606(747) 343-9350 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, Mar 10, 2025 (2 updates tracked since 2025).

About Fast Track Wound Care Inc NPPES

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

FAST TRACK WOUND CARE INC (NPI 1912706219) is a healthcare organization registered as an internal medicine in North Hollywood, California and active in the NPI registry since March 2025. The organization lists Bolat Issatov, Owner, as its authorized official.

NPPES Registry Identity

NPI1912706219
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAST TRACK WOUND CARE INC
Location Address12444 VICTORY BLVD STE 425North Hollywood, CA 91606-3199
Mailing Address12444 Victory Blvd Ste 425North Hollywood, CA 91606-3199 · (747) 343-9350
Phone(747) 343-9350
Organization SubpartNo
Authorized OfficialBolat IssatovOwner · (747) 343-9350
Enumeration DateMarch 10, 2025
Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1912706219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12444 VICTORY BLVD STE 425, North Hollywood, CA 91606
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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)

Fast Track Wound Care Inc 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 Fast Track Wound Care Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Tigranuhi Tadevosyan
Nurse Practitioner
NPI 1750152211
1821 N LIMA ST
Burbank, CA 91505
(818) 726-2883
✔ PECOS✔ Accepts Medicare3.3 mi
Tamiko Smith, APRN
Nurse Practitioner
NPI 1902789274
800 S MAIN ST
Corona, CA 92882
(951) 737-4343
✔ PECOS✔ Accepts Medicare53 mi
Oluwafunmilayo Adekanbi, LPN
Nurse Practitioner
NPI 1952678724
2015 GRAND CONCOURSE
Bronx, NY 10453
(718) 583-7736
✔ PECOS✔ Accepts Medicare2,460 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 Fast Track Wound Care Inc's NPI number?

The NPI number for Fast Track Wound Care Inc is 1912706219. It was assigned to this organization in the NPPES registry on March 10, 2025.

Where is Fast Track Wound Care Inc located?

Fast Track Wound Care Inc is located at 12444 Victory Blvd Ste 425, North Hollywood, CA 91606. The listed phone number is (747) 343-9350.

What is Fast Track Wound Care Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fast Track Wound Care Inc enrolled in Medicare?

Yes. Fast Track Wound Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fast Track Wound Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Fast Track Wound Care Inc. 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, 1 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 Fast Track Wound Care Inc was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.