Individual provider Active NPI

Dayna Wass

  • Family Nurse Practitioner
  • Fallbrook, CA
National Provider Identifier
1760012702
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012055 Issued in CA
Practice address
617 E Alvarado St
Fallbrook, CA 92028-2315
Phone
(760) 509-9509
NPI assigned
Jan 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012055 CA Primary

Addresses

Primary practice location

617 E Alvarado St
Fallbrook, CA 92028-2315

Mailing address

775 Breeze Hill Rd Apt 1135
Vista, CA 92081-4352
Phone (951) 694-2177

Other practice location 1

775 Breeze Hill Rd Apt 1135
Vista, CA 92081-4352
Phone (951) 694-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95012055CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1760012702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 BREEZE HILL RD APT 1135",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920814352",
            "telephone_number": "951-694-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E ALVARADO ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282315",
            "telephone_number": "760-509-9509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Breeze Hill Rd Apt 1135",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920814352",
            "country_code": "US",
            "telephone_number": "951-694-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASS",
        "first_name": "DAYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.