Wavelengths Management LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

WAVELENGTHS MANAGEMENT LLC

Practice address

333 City Blvd W FL 17
Suite 1710
Orange, CA 92868-5905

Phone

(714) 642-2404

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Warren Boyd

Title

Ceo

Phone

(714) 642-2404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1073340162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W FL 17",
            "address_2": "SUITE 1710",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685905",
            "telephone_number": "714-642-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W FL 17",
            "address_2": "SUITE 1710",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685905",
            "telephone_number": "714-642-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVELENGTHS MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-642-2404"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Watson
• Kelly Jane-Baldwin Watson, PA-C
• Kiera Jacklyn Watson
• Tameka Tanyeka Watson, MD
• Wavelengths Desert Recovery LLC
• Jonathan Jeremy Way, PHARMD
• David John Wayne, MFT
• Jessica Gaeta Weaver, NP
• Megan M Weaver, BSN, RN
• Timothy Alan Weaver Jr., M.D.

• Substance Abuse Rehabilitation Facility in Orange, CA
• Providers in Orange, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.