Active NPI
Nicole Wright, PA-C
- Physician Assistant
- Palm Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA56634
- Practice address
- 560 S Paseo Dorotea Ste 4a
Palm Springs, CA 92264-1434 - Phone
- (951) 297-8375
- Fax
- (951) 602-8264
- NPI assigned
- Nov 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA56634 | CA | Primary |
Addresses
Primary practice location
560 S Paseo Dorotea Ste 4a
Palm Springs, CA 92264-1434
Mailing address
5630 E Santa Ana Canyon Rd
Anaheim, CA 92807-3122
Phone (714) 257-6170
Other practice location 1
5630 E Santa Ana Canyon Rd
Anaheim, CA 92807-3122
Phone (714) 257-6170
Other practice location 2
2501 E Chapman Ave Ste 101
Orange, CA 92869-3204
Phone (714) 628-3300
Other practice location 3
2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone (714) 449-6230
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nwright1374606@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA56634 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Karma TMS PC | Past | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Freeport Memorial Hospital | Past | Accepting new patients | |
| New Day Institute | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
2501 E Chapman Ave
Ste 101
Orange, CA 92869
Phone (714) 628-3300
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
Interoperability endpoints
- nwright1374606@oc.providencedirect.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Psychiatry Physician
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- NPI 1205450418
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Psychiatry Physician
- Palm Springs, CA
- NPI 1508504689
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
-
- Marriage & Family Therapist
- Riverside, CA
- NPI 1043691025
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1205340973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 E SANTA ANA CANYON RD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073122",
"telephone_number": "714-257-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 S PASEO DOROTEA STE 4A",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922641434",
"telephone_number": "951-297-8375",
"fax_number": "951-602-8264"
}
],
"practiceLocations": [
{
"address_1": "5630 E Santa Ana Canyon Rd",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928073122",
"country_code": "US",
"telephone_number": "714-257-6170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 E Chapman Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928693204",
"country_code": "US",
"telephone_number": "714-628-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2251 N Harbor Blvd",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928352601",
"country_code": "US",
"telephone_number": "714-449-6230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA56634",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nwright1374606@oc.providencedirect.org",
"affiliation": "N",
"address_1": "26800 Crown Valley Pkwy Ste 150",
"city": "Mission Viejo",
"state": "CA",
"country_code": "US",
"postal_code": "926918018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.