WAVE WELLNESS CLINIC PROFESSIONAL CORPORATION
NPI 1417774399
Clinic/Center - Primary Care in Encinitas, CA

Q: What is Wave Wellness Clinic Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 23, 2024

4407 MANCHESTER AVE STE 101, ENCINITAS, CA 92024(760) 652-6800(760) 274-6165 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 20, 2024, Sep 23, 2024 (2 updates tracked since 2024).

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About Wave Wellness Clinic Professional Corporation NPPES

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

WAVE WELLNESS CLINIC PROFESSIONAL CORPORATION (NPI 1417774399) is a healthcare organization registered as a primary care in Encinitas, California and active in the NPI registry since September 2024. The organization lists Emma Dorantes, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417774399

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameWAVE WELLNESS CLINIC PROFESSIONAL CORPORATION

Location Address4407 MANCHESTER AVE STE 101Encinitas, CA 92024-4941

Mailing Address4401 Manchester Ave Ste 106Encinitas, CA 92024-4938 · (760) 753-0220 · Fax (760) 753-2639

Phone(760) 652-6800

Fax(760) 274-6165

Organization SubpartNo

Authorized OfficialEmma DorantesOffice Manager · (760) 458-7539

Enumeration DateSeptember 23, 2024

Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1417774399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

4407 MANCHESTER AVE STE 101, Encinitas, CA 92024

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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 Wave Wellness Clinic Professional Corporation's NPI number?

The NPI number for Wave Wellness Clinic Professional Corporation is 1417774399. It was assigned to this organization in the NPPES registry on September 23, 2024.

Where is Wave Wellness Clinic Professional Corporation located?

Wave Wellness Clinic Professional Corporation is located at 4407 Manchester Ave Ste 101, Encinitas, CA 92024. The listed phone number is (760) 652-6800.

What is Wave Wellness Clinic Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Wave Wellness Clinic Professional Corporation was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.