Amanda Leigh Wainfan, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC36915 Issued in CA

Practice address

1525 Mesa Verde Dr E Ste 108
Costa Mesa, CA 92626-5221

Phone

(714) 502-4243

Fax

(866) 622-9879

NPI assigned

Feb 26, 2024

Last updated

Feb 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sebastian Gonzales Chiropractic Inc.

  • Chiropractor
  • Huntington Beach, CA
  • NPI 1407188964
  Medicare reassignment NPD
• Sara Van Dyke Chiropractic, Inc.

  • Chiropractor
  • Costa Mesa, CA
  • NPI 1326734484
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1780440891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E STE 108",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265221",
            "telephone_number": "714-502-4243",
            "fax_number": "866-622-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E STE 108",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265221",
            "telephone_number": "714-502-4243",
            "fax_number": "866-622-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINFAN",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC36915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ka Vue
• Lyn Vuong
• Theresa Vuong, PHARMD
• Aye Waddy
• Rishi Wadhwani
• Megan Demi Waintal
• Erica Wakefield, BA
• Greyson Myles Walbrink
• Alissa Sue Wald, O.D.
• Natalie Waldman, MS-CCC, SLP

• Rehabilitation Chiropractor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.