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Jacquelyn Vander Wall MD. Inc

Specialist in Irvine, CA · enumerated 2006 · authorized official Jacquelyn Vander Wall, MD.

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

National Provider Identifier

1386724375

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Registry record

Entity type Organization (Type 2)
Legal business name Jacquelyn Vander Wall MD. Inc
Other name <Unavail>
Practice address 11 Technology Dr, Irvine, CA, 92618
Phone (949) 923-3250
Fax (855) 812-5865
Enumeration date Oct 16, 2006
Last updated in NPPES Apr 26, 2016

Taxonomy & classification

174400000X Specialist Other Service Providers · License G065045 (CA) Primary

Authorized official

Name Jacquelyn Vander Wall
Title MD
Phone (562) 594-6599

Other identifiers

Identifier Type State Issuer
00G65045G Medicaid CA -
CB252872 Other CA MEDICARE

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

Who is the authorized official for Jacquelyn Vander Wall MD. Inc?
NPPES lists Jacquelyn Vander Wall (MD) as the authorized official for this organization.
What is the NPI number for Jacquelyn Vander Wall MD. Inc?
The NPI for Jacquelyn Vander Wall MD. Inc is 1386724375, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-26.