Provider Type Icon

JACOB WALDRON D.O. NPI 1326497504


NPI Information

NPI: 1326497504
Provider Name: JACOB WALDRON, D.O.
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
NAVAL MEDICAL CTR
34800 BOB WILSON DRIVE
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-6827
Get Directions

Jacob Waldron, D.O. is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Jacob Waldron, D.O. NPI is 1326497504. 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:

NAVAL MEDICAL CTR
34800 BOB WILSON DRIVE
SAN DIEGO, CA
ZIP 92134-000
Phone: (619) 532-6827

The NPI 1326497504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2016 and was last updated on 9/24/2016.


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
1171000000XMilitary Health Care ProviderYes

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
1VAD0000MEDICARE UPIN

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: 11/14/2023

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.