DR. WANDA JEANETTE DEQUARDO DNP, APRN, FNP-BC
NPI 1003691957
Nurse Practitioner in Huntington Beach, CA

Q: What is Wanda Dequardo's NPI number?

The NPI number for Wanda Dequardo is 1003691957. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Q: What is Wanda Dequardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Dequardo was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 29, 2023

17822 BEACH BLVD STE 300, HUNTINGTON BEACH, CA 92647(714) 375-1122(949) 863-8581 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2025, Dec 13, 2023, Aug 29, 2023 (3 updates tracked since 2023).

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About Dr. Wanda Jeanette Dequardo Dnp, Aprn, Fnp-bc NPPES

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

DR. WANDA JEANETTE DEQUARDO DNP, APRN, FNP-BC (NPI 1003691957) is an individual nurse practitioner in Huntington Beach, California, licensed in California (95129597) and active in the NPI registry since August 2023. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003691957

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. WANDA JEANETTE DEQUARDOCredential: DNP, APRN, FNP-BC

Location Address17822 BEACH BLVD STE 300Huntington Beach, CA 92647-7172

Mailing Address28176 CoulterMission Viejo, CA 92692-4064 · (949) 201-8307

Phone(714) 375-1122

Fax(949) 863-8581

Sole ProprietorNo

Enumeration DateAugust 29, 2023

Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1003691957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95129597

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

17822 BEACH BLVD STE 300, Huntington Beach, CA 92647

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Secondary Practice Locations 2

Location 12880 Atlantic Ave Ste 255Long Beach, CA 90806-1734 · Phone (714) 375-1122 · Fax (949) 863-8581

Location 224301 Paseo De Valencia Ste BLaguna Woods, CA 92637-3111 · Phone (714) 375-1122 · Fax (949) 863-8581

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAHBAZ QAVI MD

Anesthesiology (Pain Medicine)