CRESCENT WOUND CARE INC – NPI #1942177548
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

CRESCENT WOUND CARE INC is a provider located in THE DALLES, OR. NPPES has assigned the NPI number 1942177548 to CRESCENT WOUND CARE INC on October 20, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRESCENT WOUND CARE INC below.

NPI Profile for
CRESCENT WOUND CARE INC

NPI Number
1942177548
Enumeration Date

(about 8 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRESCENT WOUND CARE INC
Primary location
1015 WEBBER ST
THE DALLES, OR 97058-3527
Phone: (858) 967-3070 Fax: (858) 431-4736
Mailing address
5580 LA JOLLA BLVD STE 622
LA JOLLA, CA 92037-7651
Phone: (858) 967-3070 Fax: (858) 431-4736
Organization Subpart
No
Authorized Official
MOHAMED KADRY-HASSANEIN
OWNER
Phone: (858) 967-3070
Updated
Certification Date
Oct 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.