PRAXIS PRIVATE PHYSICIAN
NPI 1730027145
General Practice in San Juan Capistrano, CA
About Praxis Private Physician NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAXIS PRIVATE PHYSICIAN (NPI 1730027145) is a healthcare organization registered as a general practice in San Juan Capistrano, California and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Andrew Adams, Founder/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Praxis Private Physician is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Praxis Private Physician, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2344236
Praxis Private Physician · Dana Point, CAFrequently 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 Praxis Private Physician's NPI number?
The NPI number for Praxis Private Physician is 1730027145. It was assigned to this organization in the NPPES registry on March 24, 2026.
Where is Praxis Private Physician located?
Praxis Private Physician is located at 26221 Paseo Toscana, San Juan Capistrano, CA 92675. The listed phone number is (949) 339-0498.
What is Praxis Private Physician's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Praxis Private Physician enrolled in Medicare?
Yes. Praxis Private Physician is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Praxis Private Physician?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Praxis Private Physician. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Praxis Private Physician hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2344236) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Praxis Private Physician was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Praxis Private Physician · NPI 1730027145
General Practice organization in San Juan Capistrano, California. Organization record, active in the CMS NPPES registry since March 24, 2026.
## Identity
- **NPI:** 1730027145 (Entity type: Organization)
- **Enumerated:** March 24, 2026
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Andrew Adams, FOUNDER/CEO
## Practice location
- **Address:** 26221 PASEO TOSCANA, San Juan Capistrano, CA 92675-4193
- **Phone:** (949) 339-0498 · **Fax:** (949) 288-4933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730027145) · Data from the CMS NPPES public registry.