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JON PHILLIP WACK M.D. NPI 1609819622


NPI Information

NPI: 1609819622
Provider Name: JON PHILLIP WACK, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3700 CALIFORNIA ST
SAN FRANCISCO, CA
ZIP 94118
Phone: (415) 750-6025
Get Directions

Jon Phillip Wack, M.D. is a diagnostic radiology radiology in San Francisco, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jon Phillip Wack, M.D. NPI is 1609819622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3700 CALIFORNIA ST
SAN FRANCISCO, CA
ZIP 94118-618
Phone: (415) 750-6025

The enumeration date for this NPI number is 6/14/2006 and was last updated on 2/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyA23313CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A233130MEDICARE PINCALIFORNIA
200A233133MEDICARE PINCALIFORNIA
300A233134MEDICARE PINCALIFORNIA
4A23475MEDICARE UPINCALIFORNIA
500A233130MEDICAIDCALIFORNIA
61609819622MEDICAIDNEVADA
700A233131MEDICARE PINCALIFORNIA
8BH121ZMEDICARE PINCALIFORNIA
9300134151OTHERCALIFORNIARAILROAD MEDICARE
1000A233132MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.