MEDICARE: A1 WOUND SPECIALISTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1558213736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 WOUND SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	3859 S VALLEY VIEW BLVD STE 2-220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2909
Country	:	US
Telephone Number	:	707-943-2273
Fax Number	:	727-739-2067

Provider Business Practice Location Address
First Line	:	3859 S VALLEY VIEW BLVD STE 2-220
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2909
Country	:	US
Telephone Number	:	707-943-2273
Fax Number	:	727-739-2067

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. DAVID MARK GOMEZ
Credential	:
Telephone Number	:	702-757-5105

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	04/30/2026

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