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

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: July 26, 2026.

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

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
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

Secondary Practice Locations 2

Location 124301 Paseo De Valencia Ste BLaguna Woods, CA 92637-3111 · Phone (714) 375-1122 · Fax (949) 863-8581
Location 22880 Atlantic Ave Ste 255Long Beach, CA 90806-1734 · 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.

Anesthesiology (Pain Medicine)
17822 BEACH BLVD STE 300
HUNTINGTON BEACH, CA 92647
Anesthesiology
17822 BEACH BLVD STE 300
HUNTINGTON BEACH, CA 92647
Anesthesiology (Pain Medicine)
17822 BEACH BLVD STE 300
HUNTINGTON BEACH, CA 92647
Anesthesiology (Pain Medicine)
17822 BEACH BLVD STE 300
HUNTINGTON BEACH, CA 92647
Anesthesiology (Pain Medicine)
17822 BEACH BLVD STE 300
HUNTINGTON BEACH, CA 92647
Pain Medicine (Pain Medicine)
17822 BEACH BLVD STE 300
HUNTINGTON BEACH, CA 92647
Nurse Practitioner (Family)
17822 BEACH BLVD STE 300
HUNTINGTON BEACH, CA 92647

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 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.

Where is Wanda Dequardo located?

Wanda Dequardo practices at 17822 Beach Blvd Ste 300, Huntington Beach, CA 92647. The listed phone number is (714) 375-1122.

What is Wanda Dequardo's specialty?

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

When was this NPI record last updated?

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