Individual provider Active NPI

Jane Helen Wardzinska, M.D.

  • Family Medicine Physician
  • San Leandro, CA
National Provider Identifier
1093732935
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A38490 Issued in CA
Practice address
13847 E 14TH St
Suite 110
San Leandro, CA 94578-2632
Phone
(510) 895-8700
Fax
(510) 895-8725
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A38490 CA Primary

Addresses

Primary practice location

13847 E 14TH St
Suite 110
San Leandro, CA 94578-2632

Mailing address

13847 E 14TH St
Suite 110
San Leandro, CA 94578-2632
Phone (510) 895-8700

Other identifiers 1

IdentifierTypeStateIssuer
00A384900MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000434 CA Practitioner - General PracticePractitioner - Family Practice 9537257803 Reassigns benefits to 1 organization
Practice locations: San Leandro, CA; Hayward, CA

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epic CareGroup PAC ID 5890053094, 54 clinicians

Practice addresses (Care Compare)

13851 E 14TH St
Suite 305
San Leandro, CA 94578-2630
Phone (510) 351-1193

Hospital & facility affiliations

  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Sutter Care at Home Home health agency, Concord, CA, CCN 057004
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Highland Hospital Hospital, Oakland, CA, CCN 050320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Care CurrentSince Feb 13, 2018 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients

Locations

4721 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 676-2600

20400 Lake Chabot Rd
Ste 102
Castro Valley, CA 94546
Phone (510) 247-9227

13847 E 14th St
Ste 217
San Leandro, CA 94578
Phone (510) 483-2555

13851 E 14th St
Ste 305
San Leandro, CA 94578
Phone (510) 351-1193

13847 E 14th St
Ste 110
San Leandro, CA 94578
Phone (510) 357-5566

13851 E 14th St
Ste 308
San Leandro, CA 94578
Phone (510) 351-1193

355 Lennon Ln
Ste 205
Walnut Creek, CA 94598
Phone (925) 935-0627

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1093732935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST",
            "address_2": "SUITE 110",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782632",
            "telephone_number": "510-895-8700",
            "fax_number": "510-895-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST",
            "address_2": "SUITE 110",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782632",
            "telephone_number": "510-895-8700",
            "fax_number": "510-895-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDZINSKA",
        "first_name": "JANE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A384900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.