Jane Wada, M.D., Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JANE WADA, M.D., INC.

Practice address

2103 Montrose Ave
Suite D
Montrose, CA 91020-1546

Phone

(818) 957-2066

Fax

(818) 957-0689

NPI assigned

May 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jane Wada, M.D.

Title

Owner

Phone

(818) 957-2066

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel G Pai I, M.D.

  • Specialist
  • Pasadena, CA
  • NPI 1356388110
  NPD (past)

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1316172679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 MONTROSE AVE",
            "address_2": "SUITE D",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201546",
            "telephone_number": "818-957-2066",
            "fax_number": "818-957-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 MONTROSE AVE",
            "address_2": "SUITE D",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201546",
            "telephone_number": "818-957-2066",
            "fax_number": "818-957-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE WADA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "WADA",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-957-2066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilit Hovnanian, PHARMD
• Sarmen Hovsepian, PHARMD
• Mona Miki Iyoya, OTR/L
• Andrea Molly James, LMFT
• Jan Yuo, M.D. Inc.
• Sona Jaytyan
• James Bruce Johnson, DDS
• Lisa Marie Jorgensen-Bock, SLP
• Joseph R Maloof, Chiropractic, Inc
• Kaiser Cole Chiropractic Inc

• Dermatology Physician in Montrose, CA
• Providers in Montrose, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.