Active NPI
Jennifer Grace Wharram, PA
- Physician Assistant
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61018
- Practice address
- 3965 Fifth Ave Ste 230
San Diego, CA 92103-3107 - Phone
- (619) 872-0953
- NPI assigned
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61018 | CA | Primary |
Addresses
Primary practice location
3965 Fifth Ave Ste 230
San Diego, CA 92103-3107
Mailing address
3965 5TH Ave Ste 230
San Diego, CA 92103-3107
Phone (619) 872-0953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2067 W Vista Way
Suite 295
Vista, CA 92083-6002
Phone (526) 735-3226
450 4TH Ave
Suite 311
Chula Vista, CA 91910-4429
Phone (526) 735-3226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61018 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Oncology Ca, a Professional Corporation | Current | Accepting new patients | |
| The Oncology Institute Ca, a Professional Corporation | Current | Accepting new patients | |
| Svmhs Clinics | Current | Accepting new patients | |
| Lancelot O Alexander MD a Medical Corporation | Past | Accepting new patients |
Locations
18000 Studebaker Rd
Ste 800
Cerritos, CA 90703
900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400
11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820
6121 N Thesta St
Ste 204
Fresno, CA 93710
Phone (559) 438-7390
3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550
100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301
505 E Romie Ln
Ste A
Salinas, CA 93901
Phone (831) 755-1701
1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866
3965 5th Ave
Ste 230
San Diego, CA 92103
Phone (619) 872-0953
399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252
425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020
2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jennifer.wharram@theoncologyinstitute.ikm.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Downey, CA
- NPI 1275651515
-
- Multi-Specialty Clinic/Center
- Salinas, CA
- NPI 1093158347
-
- Hematology & Oncology Physician
- Las Vegas, NV
- NPI 1225514508
-
- Specialist
- Salinas, CA
- NPI 1134279532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1063168094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 5TH AVE STE 230",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033107",
"telephone_number": "619-872-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 FIFTH AVE STE 230",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033107",
"telephone_number": "619-872-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHARRAM",
"first_name": "JENNIFER",
"middle_name": "GRACE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA61018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.