Payne Family Nursing and Wellness Inc

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

PAYNE FAMILY NURSING AND WELLNESS INC

Practice address

351 Corporate Terrace Cir
Corona, CA 92879-6028

Phone

(951) 543-7712

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Adam Payne, NPNPI 1154847986

Title

Chief Executive Officer

Phone

(951) 543-7712

Specialties & licenses 2

Addresses

Other names 1

• Payne Family Healthcare Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam M Payne, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1154847986
  Medicare reassignment NPD Authorized official
• Amy Dawn Causey, NP

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1174049878

  Single Specialty

  Medicare reassignment NPD
• Steven Groke, MD

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1255629994
  Medicare reassignment NPD
• Alexis Waidhofer, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1871199950
  Medicare reassignment

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1023848637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19069 VAN BUREN BLVD STE 114",
            "address_2": "PMB 491",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925082548",
            "telephone_number": "951-543-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 CORPORATE TERRACE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796028",
            "telephone_number": "951-543-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE FAMILY NURSING AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "951-543-7712",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payne Family Healthcare Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alexandra Paul
• Jordan Paul, RADT
• Holy Dove Quiboloy Paule, FNP-C
• Jennifer Pauley
• Lizbeth Payan
• Neva Payne
• Tyler Peace
• Peaceful Hearts Home Care Inc
• Peaceloving Home Health, Inc
• Chaniecia Myiesha Pearson

• Wound Care Registered Nurse in Corona, CA
• Providers in Corona, CA by specialty
• Wound Care Registered Nurse in California

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

Verify at the official NPI Registry.