NEXWAVE MEDICAL PC NPI 1639046774

NPI Information

  • NPI: 1639046774
  • Provider Name: NEXWAVE MEDICAL PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 745 W 19TH ST STE F
    COSTA MESA, CA
    ZIP 92627
  • Phone: (949) 574-0210

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NPI Details

NEXWAVE MEDICAL PC is a primary care clinic center in Costa Mesa, CA. NEXWAVE MEDICAL PC NPI is 1639046774. The provider is registered as an organization entity type.

The provider's business location address is:

745 W 19TH ST STE F
COSTA MESA, CA
ZIP 92627-536
Phone: (949) 574-0210
Fax: (949) 574-0220

The provider's authorized official is Elvira Patricia Flores .
The authorized official title is Cfo/secretary and has the following contact phone number (562) 682-7683.

The enumeration date for this NPI number is 10/22/2025 and was last updated on 10/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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