Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK WASSERMAN, M.D.
ActiveDR. JACK WASSERMAN, M.D. is a Family Medicine healthcare provider located in SAN DIEGO, California. NPI 1306914783 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAN DIEGO, CA
Registration Details
- NPI Number
- 1306914783
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2006 (19.700835833363 yrs)
- Last Updated
- Dec 28, 2009
- License
-
G30311 (CA)
Practice Information
- Address
-
9999 MIRA MESA BLVD STE 104SAN DIEGO, CA, 921311006Browse CA providers · Browse ZIP 92131
- Phone
- 8582716962
- Fax
- 8582715327
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. LISA MARIE MUSIAL | DO | 1336145697 |
| DR. JOHN NEWTON CAREY | D.O. | 1801893672 |
| NORMAN ROSEN | M.D | 1720085673 |
| EMMETT LEE RICE | D.O. | 1073511150 |
| TERRI LEA RIDDIFORD | MD | 1649279498 |
| CHIA-LIN LIU | D.O. | 1720088552 |
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.