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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: July 26, 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.

DR. BERND MICHAEL KUTZSCHER M.D.
Ophthalmology
1850 SULLIVAN AVE, STE 540
DALY CITY, CA 94015
San Mateo County (650) 755-6900
THOMAS PATRICK FEENEY M.D.
Internal Medicine (Cardiovascular Disease)
1850 SULLIVAN AVE, 310
DALY CITY, CA 94015
San Mateo County (650) 757-6131
DR. SUSAN LONGAR M.D.
Ophthalmology
1850 SULLIVAN AVE, STE 500
DALY CITY, CA 94015
San Mateo County (650) 992-9221
GARY LARIOZA RPT
Physical Therapist
1850 SULLIVAN AVE, 305
DALY CITY, CA 94015
San Mateo County (650) 985-7588
LESLIE C MORETTI MD INC
Internal Medicine (Hematology & Oncology)
1850 SULLIVAN AVE, SUITE 440
DALY CITY, CA 94015
San Mateo County (650) 992-8500
ALFREDO F FERNANDEZ MD
Orthopaedic Surgery
1850 SULLIVAN AVE, SUITE 330
DALY CITY, CA 94015
San Mateo County (650) 756-5630
STEPHEN E CONRAD MD
Orthopaedic Surgery
1850 SULLIVAN AVE, SUITE 330
DALY CITY, CA 94015
San Mateo County (650) 756-5630
REHAN KHAN PAC
Physician Assistant
1850 SULLIVAN AVE, SUITE 330
DALY CITY, CA 94015
San Mateo County (650) 756-5630

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 with the weekly NPPES data releases published by CMS.