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WAVECREST MEDICINE, INC.
NPI 1619087988
Clinic/Center - Primary Care in Daly City, CA

Active since August 30, 2006
1850 SULLIVAN AVE, SUITE 320, DALY CITY, CA 94015(650) 985-0530(650) 985-0535 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wavecrest Medicine, Inc. NPPES

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

WAVECREST MEDICINE, INC. (NPI 1619087988) is a healthcare organization registered as a primary care in Daly City, California and active in the NPI registry since August 2006. The organization lists Kris C Kealey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619087988
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWAVECREST MEDICINE, INC.
Location Address1850 SULLIVAN AVE, SUITE 320Daly City, CA 94015-2221
Mailing Address1850 Sullivan Ave, Suite 320Daly City, CA 94015-2221 · (650) 985-0530 · Fax (650) 985-0535
Phone(650) 985-0530
Fax(650) 985-0535
Organization SubpartNo
Authorized OfficialKris C KealeyCeo · (650) 985-0530
Enumeration DateAugust 30, 2006
Last NPPES UpdateOctober 3, 2011
✔ NPI 1619087988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1850 SULLIVAN AVE, Daly City, CA 94015
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Other Identifiers 3

MedicaidGR0101480CA
Medicare UPING24082CA
Medicare ID-Type UnspecifiedZZZ31832ZCA

Other Providers at the Same Location NPPES 20

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

MR. FIDEL MANZANO CADAG NP - C
Nurse Practitioner (Family)
1850 SULLIVAN AVE, SUITE 310
DALY CITY, CA 94015
San Mateo County (650) 755-3939
CAROL MARRACCINI-OTTO PA-C
Physician Assistant
1850 SULLIVAN AVE, SUITE 330
DALY CITY, CA 94015
San Mateo County (650) 756-5630
BERNARD ROAZEN MD
Family Medicine
1850 SULLIVAN AVE, #150
DALY CITY, CA 94015
San Mateo County (650) 994-2300
AMAN SHABI KHAN MD
Orthopaedic Surgery (Sports Medicine)
1850 SULLIVAN AVE, SUITE 330
DALY CITY, CA 94015
San Mateo County (650) 756-5630
BAY AREA DIGESTIVE HEALTH MEDICAL GROUP, INC.
Specialist
1850 SULLIVAN AVE, SUITE 520
DALY CITY, CA 94015
San Mateo County (650) 756-5000
STEPHEN JOHN SCHEIFELE MD
Obstetrics & Gynecology
1850 SULLIVAN AVE, #550
DALY CITY, CA 94015
San Mateo County (650) 756-2404
SERENA YEE O.D.
Optometrist
1850 SULLIVAN AVE, SUITE 540
DALY CITY, CA 94015
San Mateo County (650) 755-6900
MRS. THUY NGUYEN M.D.
Ophthalmology
1850 SULLIVAN AVE, STE 500
DALY CITY, CA 94015
San Mateo County (925) 992-9221

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 Wavecrest Medicine, Inc.'s NPI number?

The NPI number for Wavecrest Medicine, Inc. is 1619087988. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Wavecrest Medicine, Inc. located?

Wavecrest Medicine, Inc. is located at 1850 Sullivan Ave Suite 320, Daly City, CA 94015. The listed phone number is (650) 985-0530.

What is Wavecrest Medicine, Inc.'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 Wavecrest Medicine, Inc. was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.