OrganizationActive
Jacquelyn Vander Wall MD. Inc
NPI 1386724375 · Specialist · Irvine, CA
Jacquelyn Vander Wall MD. Inc is a Specialist organization in Irvine, CA (NPI 1386724375).
Provider details
- NPI number
- 1386724375
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jacquelyn Vander Wall, MD(562) 594-6599
- License
- G065045 (CA)
Specialties & taxonomies
Other Service Providers
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
11 Technology Dr
Irvine, CA 92618-2302
Phone: (949) 923-3250
Fax: (855) 812-5865
Street-level locationGet directions
Mailing address
3460 Katella Ave
Los Alamitos, CA 90720-2334
Other names (DBA / former)
- Doing business as
- Optumcare Medical Group
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2016-04-26
Frequently asked questions
- What is Jacquelyn Vander Wall MD. Inc's NPI number?
- Jacquelyn Vander Wall MD. Inc's National Provider Identifier (NPI) is 1386724375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacquelyn Vander Wall MD. Inc?
- Jacquelyn Vander Wall MD. Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Jacquelyn Vander Wall MD. Inc located?
- Jacquelyn Vander Wall MD. Inc's practice location on file with NPPES is 11 Technology Dr, Irvine, CA 92618-2302.
- What is Jacquelyn Vander Wall MD. Inc's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Vander Wall MD. Inc is (949) 923-3250.
- Who is the authorized official for Jacquelyn Vander Wall MD. Inc?
- The authorized official listed on Jacquelyn Vander Wall MD. Inc's NPPES record is Jacquelyn Vander Wall, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacquelyn Vander Wall MD. Inc's NPI active?
- Yes — Jacquelyn Vander Wall MD. Inc's NPI (1386724375) is active in the NPPES registry as of the last update on 2016-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.