Individual provider Active NPI

Wael Elgafarawy, NP

  • Acute Care Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1649963786
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95025446 Issued in CA
Practice address
26455 Ambia
Mission Viejo, CA 92692-3330
Phone
(310) 880-5451
NPI assigned
Jun 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95025446 CA Primary

Addresses

Primary practice location

26455 Ambia
Mission Viejo, CA 92692-3330

Mailing address

26455 Ambia
Mission Viejo, CA 92692-3330
Phone (310) 880-5451

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616003724 CA Practitioner - Nurse Practitioner 5890206924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MJ Medical Group,Inc. CurrentSince Apr 6, 2025 Accepting new patients

Locations

2097 Compton Ave
Ste 103
Corona, CA 92881
Phone (951) 934-0505

26781 Portola Pkwy
Ste 4E
Foothill Rnch, CA 92610
Phone (949) 251-1502

3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120

26501 Rancho Pkwy S
Ste 103
Lake Forest, CA 92630
Phone (949) 306-5115

9041 Magnolia Ave
Ste 6
Riverside, CA 92503
Phone (951) 224-6000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1649963786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26455 AMBIA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923330",
            "telephone_number": "310-880-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26455 AMBIA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923330",
            "telephone_number": "310-880-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGAFARAWY",
        "first_name": "WAEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95025446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.