Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB O WARDWELL, DO
ActiveJACOB O WARDWELL, DO is a Sports Medicine healthcare provider located in SAN FRANCISCO, California. NPI 1063723781 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · SAN FRANCISCO, CA
Registration Details
- NPI Number
- 1063723781
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2010 (16.17303852073 yrs)
- Last Updated
- Feb 21, 2018
- License
-
12776 (CA)
Practice Information
- Address
-
450 SUTTER ST RM 1341SAN FRANCISCO, CA, 941084007Browse CA providers · Browse ZIP 94108
- Phone
- 4156060309
- Fax
- 4158620626
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in SAN FRANCISCO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ANTHONY C LUKE | MD | 1801848270 |
| DR. ROWAN VICTOR PAUL | M D | 1255507489 |
| AHMED FASIHUDDIN KHAN | M.D. | 1497018410 |
| JOSHUA DAVID SAMPSON | M.D. | 1497098909 |
| MICHELLE SRIWONGTONG | MD | 1114313616 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.