Jacquelyn Vander Wall, M.D.
NPI 1699807792 · Geriatric Medicine (Internal Medicine) Physician · Los Alamitos, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacquelyn Vander Wall, M.D. is a Geriatric Medicine (Internal Medicine) Physician provider in Los Alamitos, CA (NPI 1699807792).
Provider details
- NPI number
- 1699807792
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- G065045 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
2 documented practice locations
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 117 | 55 |
| Levothyroxine Sodium | 79 | 52 |
| Amlodipine Besylate | 57 | 36 |
| Metoprolol Succinate | 46 | 27 |
| Losartan Potassium | 46 | 25 |
| Pantoprazole Sodium | 44 | 21 |
| Simvastatin |
Practice location
Mailing address
Additional practice locations (1)
- 11 Technology DrIrvine, CA 92618-2302Phone: (949) 923-3250Fax: (855) 812-5865
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2025-11-30
- Certified
- 2025-11-30
Frequently asked questions
- What is Jacquelyn Vander Wall's NPI number?
- Jacquelyn Vander Wall's National Provider Identifier (NPI) is 1699807792, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Vander Wall's specialty?
- Jacquelyn Vander Wall is listed in the NPPES registry with a primary specialty of Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Jacquelyn Vander Wall located?
- Jacquelyn Vander Wall's practice location on file with NPPES is 3460 Katella Ave, Los Alamitos, CA 90720-2334.
- What is Jacquelyn Vander Wall's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Vander Wall is (702) 579-3203.
- Does Jacquelyn Vander Wall accept Medicare?
- Jacquelyn Vander Wall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacquelyn Vander Wall's NPI active?
- Yes — Jacquelyn Vander Wall's NPI (1699807792) is active in the NPPES registry as of the last update on 2025-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.