IndividualActive
Jack Wasserman, M.D.
NPI 1306914783 · Family Medicine Physician · San Diego, CA
Jack Wasserman, M.D. is a Family Medicine Physician provider in San Diego, CA (NPI 1306914783).
Provider details
- NPI number
- 1306914783
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G30311 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9999 Mira Mesa Blvd Ste 104
San Diego, CA 92131-1006
Phone: (858) 271-6962
Fax: (858) 271-5327
Street-level locationGet directions
Mailing address
9999 Mira Mesa Blvd Ste 104
San Diego, CA 92131-1006
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2009-12-28
Frequently asked questions
- What is Jack Wasserman's NPI number?
- Jack Wasserman's National Provider Identifier (NPI) is 1306914783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wasserman's specialty?
- Jack Wasserman is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Wasserman located?
- Jack Wasserman's practice location on file with NPPES is 9999 Mira Mesa Blvd Ste 104, San Diego, CA 92131-1006.
- What is Jack Wasserman's phone number?
- The practice phone number listed in the NPPES registry for Jack Wasserman is (858) 271-6962.
- Is Jack Wasserman's NPI active?
- Yes — Jack Wasserman's NPI (1306914783) is active in the NPPES registry as of the last update on 2009-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.