AVALON WOUND CARE INC
NPI 1972354959
Clinic/Center - Health Service in Burbank, CA

Active since March 28, 2024
4001 W ALAMEDA AVE STE 100, BURBANK, CA 91505(818) 588-3300 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Avalon Wound Care Inc NPPES

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

AVALON WOUND CARE INC (NPI 1972354959) is a healthcare organization registered as a health service in Burbank, California and active in the NPI registry since March 2024. The organization lists Tatevik Gevorgyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972354959
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameAVALON WOUND CARE INC
Location Address4001 W ALAMEDA AVE STE 100Burbank, CA 91505-4338
Mailing Address4001 W Alameda Ave Ste 100Burbank, CA 91505-4338 · (818) 588-3300
Organization SubpartNo
Authorized OfficialTatevik GevorgyanCeo · (818) 588-3300
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1972354959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4001 W ALAMEDA AVE STE 100, Burbank, CA 91505

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avalon Wound Care 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 Avalon 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 (2)

General Surgery
NPI 1093997330
330 N BRAND BLVD STE 190
Glendale, CA 91203
(818) 240-1820
✔ PECOS5.1 mi
Nurse Practitioner
NPI 1194318014
16261 GLEDHILL ST
North Hills, CA 91343
(818) 824-2957
✔ PECOS✔ Accepts Medicare10 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 05D2313747

Avalon Wound Care Inc · Burbank, CA
Expired · Nov 5, 2026
CLIA Number05D2313747
Laboratory TypeWound Care
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorMardiros Mihranian
Laboratory Phone(818) 588-3300
Laboratory LocationAvalon Wound Care Inc4001 W Alameda Ave Suite 100, Burbank, CA 91505
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 Avalon Wound Care Inc's NPI number?

The NPI number for Avalon Wound Care Inc is 1972354959. It was assigned to this organization in the NPPES registry on March 28, 2024.

Where is Avalon Wound Care Inc located?

Avalon Wound Care Inc is located at 4001 W Alameda Ave Ste 100, Burbank, CA 91505. The listed phone number is (818) 588-3300.

What is Avalon Wound Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Avalon Wound Care Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Avalon Wound Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Avalon Wound Care Inc, in General Surgery 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. 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 Avalon Wound Care Inc was last updated on March 28, 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.