WAYNE A DAVIS (NPI# 1073152583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073152583 |
| Entity Type | Individual |
| Full Name | WAYNE A DAVIS |
| Practice Address |
301 Victoria St Costa Mesa CA 92627-7131 |
| Mailing Address |
14832 Braeburn Rd Tustin CA 92780-6215 |
| Practice Telephone | 9496422734 |
| Mailing Telephone | 7042908918 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376716654 | Wayne Byron Davis | Chiropractor | 1715 5th Ave Ste A, Moline, IL 61265-7911 | 2008-04-08 |
| 1053490037 | Wayne J Davis | Technician/Technologist | 5061 S Mccarran Blvd, Reno, NV 89502-6530 | 2006-11-02 |
| 1245842954 | Wayne Davis | Technician | 1007 Mary St, Parkersburg, WV 26101-5223 | 2020-08-24 |
| 1265663017 | Wayne Earl Davis | Ophthalmology | 3600 Amron Ct, Columbia, MO 65202-1918 | 2009-07-28 |
| 1063610293 | Wayne Albert Davis | Family Medicine | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2007-07-10 |
| 1720109465 | Wayne M Davis | Dentist | 9733 Ustick Rd, Boise, ID 83704-5202 | 2007-04-02 |
| 1164599841 | Wayne Steven Davis | Podiatrist | 10918 Kingston Pike, Knoxville, TN 37934-2931 | 2006-11-29 |
| 1285743880 | Wayne P Davis | Internal Medicine | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2006-08-29 |
| 1063459824 | Wayne L. Davis | Radiology | 500 W Broadway St, Missoula, MT 59802-4003 | 2006-06-01 |
| Street Address |
301 VICTORIA ST |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578501110 | V-tach Medical Group Inc. | Clinic/Center | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2006-06-04 |
| 1043811722 | Karen Ranei Tamayo Cabrera | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-11-08 |
| 1871193029 | Jordan Francis Roberts | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-10-27 |
| 1326653056 | December Loraine Shore | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-09-10 |
| 1619586690 | Alexis Flora | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-07-27 |
| 1396362489 | David Sallee | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-07-06 |
| 1598382095 | Briana April Miller | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-06-30 |
| 1770100364 | Debra Ruiz Aquino | Licensed Vocational Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-06-29 |
| 1043836257 | Jeremy Quang Le | Social Worker | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-06-23 |
| 1033741541 | Brian Jacobo | Social Worker | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871956706 | Tracey Cook | Nursing Care | 1851 Paros Cir, Costa Mesa, CA 92626-4709 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821224 | Discovery Health Services | Nursing Care | 5726 La Jolla Blvd Ste 104, La Jolla, CA 92037-7342 | 2020-11-04 |
| 1457959496 | Meditas Corporation | Nursing Care | 4068 Park Vista Dr, Pasadena, CA 91107-1322 | 2020-10-13 |
| 1659978328 | La Tanya Wallace | Nursing Care | 3111 Camino Del Rio N Ste 4th, San Diego, CA 92108-5720 | 2020-10-06 |
| 1548874654 | Integral Advanced Nursing Services Corporation | Nursing Care | 4138 Towhee Dr, Calabasas, CA 91302-1823 | 2020-09-04 |
| 1295349777 | Tryfacta, Inc. | Nursing Care | 4637 Chabot Dr Ste 100, Pleasanton, CA 94588-2753 | 2020-09-02 |
| 1174135982 | Queens Manor 2 Home Care | Nursing Care | 248 Amelia Ct, Vista, CA 92084-2587 | 2020-08-21 |
| 1518579192 | Core Nursing, Inc. | Nursing Care | 1513 Portia St, Los Angeles, CA 90026-2651 | 2020-08-17 |
| 1316569189 | Sri Sai Krish Institute | Nursing Care | 12362 Beach Blvd Ste 14, Stanton, CA 90680-3957 | 2020-05-14 |
| 1669008934 | Angenida Hospice LLC | Nursing Care | 14081 Yorba St Ste 201, Tustin, CA 92780-2011 | 2020-03-19 |
| 1396379244 | Beckett Enterprise | Nursing Care | 900 Kincaid Ave # K8, Inglewood, CA 90302-2021 | 2020-03-01 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.