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AMANDA LEIGH WAINFAN DC
NPI 1780440891
Chiropractor - Rehabilitation in Costa Mesa, CA

Active since February 26, 2024
1525 MESA VERDE DR E STE 108, COSTA MESA, CA 92626(714) 502-4243(866) 622-9879 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Leigh Wainfan Dc NPPES

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

AMANDA LEIGH WAINFAN DC (NPI 1780440891) is an individual rehabilitation provider in Costa Mesa, California, licensed in California (DC36915) and active in the NPI registry since February 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1780440891
Entity TypeIndividualFemale
Primary Taxonomy111NR0400X
Provider Legal NameAMANDA LEIGH WAINFANCredential: DC
Location Address1525 MESA VERDE DR E STE 108Costa Mesa, CA 92626-5221
Mailing Address1525 Mesa Verde Dr E Ste 108Costa Mesa, CA 92626-5221 · (714) 502-4243 · Fax (866) 622-9879
Phone(714) 502-4243
Fax(866) 622-9879
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1780440891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in CA · DC36915
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
1525 MESA VERDE DR E STE 108, Costa Mesa, CA 92626
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Leigh Wainfan Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648754432
PECOS Enrollment IDI20260319001953

Medicare Billing Reassignment

Medicare enrollment records show Amanda Wainfan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sebastian Gonzales Chiropractic Inc.
4.6 mi
Chiropractor
17931 BEACH BLVD STE 100
Huntington Beach, CA 92647
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1407188964 (714) 502-4243

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

SARA VAN DYKE CHIROPRACTIC, INC.
Chiropractor
1525 MESA VERDE DR E STE 108
COSTA MESA, CA 92626
Orange County (714) 299-1192
SARA VAN DYKE DC
Chiropractor
1525 MESA VERDE DR E STE 108
COSTA MESA, CA 92626
Orange County (714) 299-1192

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 Amanda Wainfan's NPI number?

The NPI number for Amanda Wainfan is 1780440891. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Amanda Wainfan located?

Amanda Wainfan practices at 1525 Mesa Verde Dr E Ste 108, Costa Mesa, CA 92626. The listed phone number is (714) 502-4243.

What is Amanda Wainfan's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Amanda Wainfan enrolled in Medicare?

Yes. Amanda Wainfan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Wainfan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Wainfan reassigns Medicare benefits to Sebastian Gonzales Chiropractic Inc. (Huntington Beach, CA). The 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 Amanda Wainfan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Wainfan was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.