Active NPI
Jane Show Wada, MD
- Dermatology Physician
- Montrose, CA
National Provider Identifier
1609862242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G30116
- Practice address
- 2103 Montrose Ave
Suite D
Montrose, CA 91020-1546 - Phone
- (818) 957-2066
- Fax
- (818) 957-0689
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G30116 | CA | Primary |
Addresses
Primary practice location
2103 Montrose Ave
Suite D
Montrose, CA 91020-1546
Mailing address
2103 Montrose Ave
Suite D
Montrose, CA 91020-1546
Phone (818) 957-2066
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1809 Verdugo Blvd
Glendale, CA 91208-1402
Phone (818) 658-2300
3600 N Verdugo Rd
Suite 210
Glendale, CA 91208-1258
Phone (818) 658-2300
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.39
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 706 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G30116 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| Gabriel G. Pai, M.D. Inc. | Dermatology | Past | Accepting new patients |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Dermatology Physician
- Glendale, CA
- NPI 1932547882
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Dermatology Physician
- Montrose, CA
- NPI 1336391960
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609862242",
"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": {
"last_name": "WADA",
"first_name": "JANE",
"middle_name": "SHOW",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G30116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CA
- Vigen Zargarian, M. D.,a PMC, Inc
- Vision Counseling Group
- Vital Chiropractic and Wellness, Manouki Chiropractic Corporation
- Vitalcare Health Solutions
- VP Meserkhani DDS Inc
- Wakabayashi Physical Therapy Inc.
- Jason Sterry Waterman, PSY.D., LMFT
- Terry Noble Webber, D.D.S.
- Gary T. Weckbacher, D.C.
- Nicole Leigh Weingarten, M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.