Alexis Waidhofer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1533 E 4TH St
Santa Ana, CA 92701-5115

Phone

(888) 339-2339

NPI assigned

Dec 5, 2020

Last updated

Jun 1, 2023By 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

Other names 1

• Alexis Wieseler Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Faried Banimahd MD Inc

  dba South County Addiction and Treatment Center

  • Addiction Medicine (Internal Medicine) Physician
  • Santa Ana, CA
  • NPI 1073962171
  Medicare reassignment
• Payne Family Nursing and Wellness Inc

  • Wound Care Registered Nurse
  • Corona, CA
  • NPI 1023848637
  Medicare reassignment
• Western Comprehensive Care Clinic PC

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1275319469
  Medicare reassignment
• Western Institute of Critical Care Medicine, Inc

  • Critical Care Medicine (Anesthesiology) Physician
  • Corona, CA
  • NPI 1154819126
  Medicare reassignment
• American Addiction Institute of Mind and Medicine

  dba California Addiction Institute of Mind and Medicine

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Ana, CA
  • NPI 1023565579
  NPD
• Inland Lung Institute Professional Corporation

  • Pulmonary Disease Physician
  • Corona, CA
  • NPI 1386486397
  NPD (past)

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1871199950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WELLESLEY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 E 4TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015115",
            "telephone_number": "888-339-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIDHOFER",
        "first_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "WIESELER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Wagenet, BCAT
• Mark S Wagner, MD
• Tayaba Waheed
• Zainab Waheed
• Ghalib Mohammad Wahidi, M.D.
• Raphael Waknine, M.D.
• Nicholas Walan
• Sandra Lee Walden, RN, MSN, PHN
• Delaney Waldron
• Walgreen Co (Walgreens #06388)

• Physician Assistant in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.