Wanda Jeanette Dequardo, DNP, APRN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95129597 Issued in CA

Practice address

17822 Beach Blvd Ste 300
Huntington Beach, CA 92647-7172

Phone

(714) 375-1122

Fax

(949) 863-8581

NPI assigned

Aug 29, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1003691957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28176 COULTER",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924064",
            "telephone_number": "949-201-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 300",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477172",
            "telephone_number": "714-375-1122",
            "fax_number": "949-863-8581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2880 Atlantic Ave Ste 255",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061734",
            "country_code": "US",
            "telephone_number": "714-375-1122",
            "fax_number": "949-863-8581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24301 Paseo De Valencia Ste B",
            "address_purpose": "LOCATION",
            "city": "Laguna Woods",
            "state": "CA",
            "postal_code": "926373111",
            "country_code": "US",
            "telephone_number": "714-375-1122",
            "fax_number": "949-863-8581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEQUARDO",
        "first_name": "WANDA",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95129597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joella Denham
• Christopher R Dennis, MD
• Tshekedi Galen Dennis, MD
• Dental Associates of Huntington Beach
• Dental Office of Joel Henriod DDS Inc
• Negar Derakhshani
• David Deranian
• Derek K. Wangberg a Psychological Corporation
• Deric C Simmons
• Derm-Aid, LLC

• Nurse Practitioner in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.