Healthcare Provider Details

I. General information

NPI: 1730027145
Provider Name (Legal Business Name): PRAXIS PRIVATE PHYSICIAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24075 ATUN
DANA POINT CA
92629-4161
US

IV. Provider business mailing address

32565B GOLDEN LANTERN # 210
DANA POINT CA
92629-3248
US

V. Phone/Fax

Practice location:
  • Phone: 949-339-0498
  • Fax: 949-288-4933
Mailing address:
  • Phone: 949-339-0498
  • Fax: 949-288-4933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW ADAMS
Title or Position: FOUNDER/CEO
Credential: MD
Phone: 949-683-0487