Active NPI
Dayna Wass
- Family Nurse Practitioner
- Fallbrook, CA
National Provider Identifier
1760012702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95012055
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95012055 | CA | MD | Family 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.