Organization Active NPI

New Waves Vision

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fullerton, CA
National Provider Identifier
1497686000
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
NEW WAVES VISION
Practice address
515 W Commonwealth Ave Ste 104
Fullerton, CA 92832-1751
Phone
(949) 522-1469
NPI assigned
May 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Dolton Beckstead
Title
Founder
Phone
(949) 522-1469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

515 W Commonwealth Ave Ste 104
Fullerton, CA 92832-1751

Mailing address

515 W Commonwealth Ave Ste 104
Fullerton, CA 92832-1751
Phone (949) 522-1469

National Provider Directory

National Provider Directory

Locations

515 W Commonwealth Ave
Ste 104
Fullerton, CA 92832
Phone (949) 522-1469

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1497686000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W COMMONWEALTH AVE STE 104",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321751",
            "telephone_number": "949-522-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W COMMONWEALTH AVE STE 104",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321751",
            "telephone_number": "949-522-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVES VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "BECKSTEAD",
        "authorized_official_first_name": "DOLTON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "949-522-1469"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.