Wave Wellness Clinic Professional Corporation
NPI 1417774399 · Primary Care Clinic/Center · Encinitas, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wave Wellness Clinic Professional Corporation is a Primary Care Clinic/Center organization in Encinitas, CA (NPI 1417774399).
Provider details
- NPI number
- 1417774399
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Emma Dorantes, Office Manager(760) 458-7539
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-23
- Last updated
- 2024-11-20
- Certified
- 2024-11-20
Frequently asked questions
- What is Wave Wellness Clinic Professional Corporation's NPI number?
- Wave Wellness Clinic Professional Corporation's National Provider Identifier (NPI) is 1417774399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wave Wellness Clinic Professional Corporation?
- Wave Wellness Clinic Professional Corporation is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wave Wellness Clinic Professional Corporation located?
- Wave Wellness Clinic Professional Corporation's practice location on file with NPPES is 4407 Manchester Ave Ste 101, Encinitas, CA 92024-4941.
- What is Wave Wellness Clinic Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Wave Wellness Clinic Professional Corporation is (760) 652-6800.
- Does Wave Wellness Clinic Professional Corporation accept Medicare?
- Wave Wellness Clinic Professional Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wave Wellness Clinic Professional Corporation?
- The authorized official listed on Wave Wellness Clinic Professional Corporation's NPPES record is Emma Dorantes, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wave Wellness Clinic Professional Corporation's NPI active?
- Yes — Wave Wellness Clinic Professional Corporation's NPI (1417774399) is active in the NPPES registry as of the last update on 2024-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.