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Wayne Andrew Davis

Registered Nurse β€’ Costa Mesa, CA

Active NPI 1073152583 Individual Practitioner Male Practitioner
Practice location in NPPES

301 Victoria St
Costa Mesa, CA 926277131

Call 9496422734 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

301 Victoria St

Costa Mesa, CA 926277131

Telephone 9496422734
Organization at the Same NPPES Address or Phone
V-Tach Medical Group Inc. Facility NPI 1578501110

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Costa Mesa and California

51 active clinicians are listed under Registered Nurse with a practice address in Costa Mesa, CA (13,516 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Costa Mesa

0% of these 51 clinicians have the CMS telehealth indicator.

0% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-03
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES CA 749489

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Adnan Akhtar , DO

Internal Medicine

NPI 1215126396

Doctor of Osteopathic Medicine (D.O.)

NPI 1700376621

NURSEPRACTITIONER

NPI 1336320688

Doctor of Medicine (M.D.)

Christopher Galindo , RN

Nurse Practitioner

NPI 1639718133

Registered Nurse

Dr. Mahtab Yousefi , MD

Psychiatry & Neurology - Psychiatry

NPI 1649613753

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address June 03, 2021

Registered at 301 VICTORIA ST, COSTA MESA, CA 926271995 (Tel: 9496422734)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2021

Registered Nurse (license number reported to NPPES: CA 749489)

βœ…
NPI Profile Active December 31, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 31, 2019

Registered at 301 VICTORIA ST, COSTA MESA, CA 926277131 (Tel: 9496422734)

πŸ“
Business Mailing Address (Initial Record) December 31, 2019

Registered at 14832 BRAEBURN RD, TUSTIN, CA 927806215 (Tel: 7042908918)

πŸ‘€
Provider Name / Credentials (Initial Record) December 31, 2019

Recorded as WAYNE DAVIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2019

Nursing Care

🟒
Initial NPI Registration & Enumeration December 31, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073152583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2019
Last Update: June 03, 2021
Sole Proprietor: No

Mailing Address

301 Victoria St

Costa Mesa, CA 926271995

Phone: 9496422734

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.