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Jacquelyn Lee Vander Wall, M.D.

Geriatric Medicine (Internal Medicine) Physician in Los Alamitos, CA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699807792

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Registry record

Entity type Individual (Type 1)
Name Jacquelyn Lee Vander Wall
Credential M.D.
Sex Female
Practice address 3460 Katella Ave, Los Alamitos, CA, 90720
Phone (702) 579-3203
Enumeration date Mar 12, 2007
Last updated in NPPES Nov 30, 2025

Taxonomy & licenses

207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License G065045 (CA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
00G65045G Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jacquelyn Vander Wall?
The National Provider Identifier (NPI) for Jacquelyn Vander Wall is 1699807792, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jacquelyn Vander Wall practice?
The practice location on file with NPPES is in Los Alamitos, CA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-30.