Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK WAXMAN, M.D.
ActiveJACK WAXMAN, M.D. is a Rheumatology healthcare provider located in SANTA ROSA, California. NPI 1104824994 is currently active in the NPPES registry. Verify at CMS.
Rheumatology · SANTA ROSA, CA
Registration Details
- NPI Number
- 1104824994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2005 (21.079148397678 yrs)
- Last Updated
- Mar 27, 2024
- License
-
G23398 (CA)
Practice Information
- Address
-
4015 QUARTZ DRSANTA ROSA, CA, 954055580Browse CA providers · Browse ZIP 95405
- Phone
- 7074817215
- Primary Specialty
-
Rheumatology
207RR0500X
Other Rheumatology Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| LISA B KREMER | M.D. | 1144262213 |
| RICHARD T. ZWEIG | MD | 1124102298 |
| TODD JAY HOFELING | M.D. | 1447451935 |
| KHASHAYAR KHOSRAVIANI | MD | 1144592205 |
| DONALD LLOYD WHISLER | M.D. | 1639516149 |
| DAVID MANISCALCO | M.D. | 1386031268 |
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.