Marc K. Wakasa, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

G81705 Issued in CA

Practice address

450 Stanyan St
# 658
San Francisco, CA 94117-1079

Phone

(415) 750-5762

Fax

(415) 750-4856

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• UCSF Health Community Hospitals

  • Clinic/Center
  • San Francisco, CA
  • NPI 1780727792
  Medicare reassignment NPD
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD
• Syvn, Inc

  • Physical Medicine & Rehabilitation Physician
  • San Francisco, CA
  • NPI 1437406295
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1265435762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "address_2": "# 658",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171079",
            "telephone_number": "415-750-5762",
            "fax_number": "415-750-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "address_2": "# 658",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171079",
            "telephone_number": "415-750-5762",
            "fax_number": "415-750-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKASA",
        "first_name": "MARC",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G81705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Wai, PSYD
• Mark Clifton Wainwright II, MD
• Marsha Josephine Wainwright
• Katya Lenore Waitzkin, PYSD
• Daniel Wakamatsu, FNP
• Lindsay Wakayama, PSY.D.
• Maia Raine Wakefield
• Pauline Joan Wakeham, LCSW
• Adrienne Miller Wakeling, M.S.
• Dana Waken

• Physical Medicine & Rehabilitation Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.