Look up the most recent NPI and PECOS records

Adam M Wass

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as ADAM WASS.

Based on the most recent information from CMS, provider Adam M Wass 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 yesterday at 12:04 PM.

Profile Details

Provider ID
1831140938
Provider Type
Individual
Full Name
Wass, Adam M
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/13/2006
Last Updated
1/4/2013

Contact Information

Practice Location

722 Baker St, Costa Mesa, CA 92626-4320

(714) 557-6300

(714) 996-9567

Mailing Location

2742 Dow Ave, Tustin, CA 92780-7242

(714) 665-1600

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A87070 California

Provider Identifiers

ID	Description	Issuer
ID 00A870700	Description Medicaid	Issuer Unlisted California

Adam M Wass

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

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