Jacquelyn Vander Wall MD. Inc
Jacquelyn Vander Wall MD. Inc is a healthcare organization registered as Specialist in Irvine, CA, holding Type 2 (organization) NPI 1386724375 since 2006. The authorized official on file is Jacquelyn Vander Wall, MD.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1386724375 |
|---|---|
| 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 | 9499233250 |
| Fax | 8558125865 |
| Enumeration date | 2006-10-16 |
| Last updated in NPPES | 2016-04-26 |
Authorized official
| Name | Jacquelyn Vander Wall |
|---|---|
| Title | MD |
| Phone | 5625946599 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | G065045 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G65045G | Medicaid | CA | — |
| CB252872 | Other | CA | MEDICARE |
Copy-ready billing details
Provider: Jacquelyn Vander Wall MD. Inc NPI: 1386724375 Taxonomy: 174400000X (Specialist) Address: 11 TECHNOLOGY DR, Irvine, CA, 92618
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447254792 | Juan Cabrera | Individual | Internal Medicine Physician | Irvine, CA |
| 1922006618 | Susan Marron | Individual | Hospitalist Physician | Irvine, CA |
| 1417954306 | Ronald Lee | Individual | Family Medicine Physician | Irvine, CA |
| 1083607055 | Subrato Ghosh | Individual | Internal Medicine Physician | Irvine, CA |
| 1508847971 | Melanie Spencer-Wolf | Individual | Internal Medicine Physician | Irvine, CA |
| 1295710325 | Khanh Nguyen | Individual | Hospitalist Physician | Irvine, CA |
| 1841262763 | Francisco Perez | Individual | Internal Medicine Physician | Irvine, CA |
| 1083689129 | Parag Sharma | Individual | Internal Medicine Physician | Irvine, CA |
Verify this record
Cross-check NPI 1386724375 against the authoritative CMS record: view Jacquelyn Vander Wall MD. Inc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-04-26.