Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moderm Wound Care Specialist LLC

Organization General Practice Physician · NPI 1538043211

Moderm Wound Care Specialist LLC is a General Practice Physician in San Jacinto, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2263 Finch Cir
San Jacinto, CA 92582-6964
Phone: (888) 211-1498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1538043211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Pippin — Owner · (888) 211-1498
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address2263 Finch Cir, San Jacinto, CA 92582-6964