Look up the most recent NPI and PECOS records

Chad Allen Wadell

Internal Medicine

Allopathic & Osteopathic Physicians

26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691-6384

PECOS Enrollment

This provider is enrolled in PECOS as CHAD WADELL.

Based on the most recent information from CMS, provider Chad Allen Wadell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1144436262
Provider Type
Individual
Full Name
Wadell, Chad Allen
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/15/2007
Last Updated
11/11/2021

Contact Information

Practice Location

26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691-6384

(949) 364-6000

(949) 364-1204

Mailing Location

26522 La Alameda, Suite 120, Mission Viejo, CA 92691-6330

(949) 282-1671

(949) 367-0518

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A94723 California

Provider Identifiers

ID	Description	Issuer
ID 00A947230	Description Medicaid	Issuer Unlisted California

Chad Allen Wadell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Haghighat, Dennis P

Mission Hills Medical Group, Inc.

Gregory J Joy Md Acute Care Services Inc

Seligsohn, Bruce

Savitt, Maria Lourdes De Fatima

Lu, Leslie I

Mission Center For Longevity & Aesthetic Medicine

Morris, Michael G

Finlayson, Erik

Melahoures, Konstantinos