Organization Active NPI

Wayne Whitwam MD Inc a Professional Corporation

  • Clinical Cardiac Electrophysiology Physician
  • La Jolla, CA
National Provider Identifier
1790600864
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
WAYNE WHITWAM MD INC A PROFESSIONAL CORPORATION
Practice address
9850 Genesee Ave Ste 780
La Jolla, CA 92037-1232
Phone
(858) 824-2900
Fax
(858) 824-2910
NPI assigned
Aug 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Wayne B Whitwam, MD
Title
President
Phone
(858) 824-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 780
La Jolla, CA 92037-1232

Mailing address

9850 Genesee Ave Ste 780
La Jolla, CA 92037-1232
Phone (858) 824-2900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1790600864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 780",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371232",
            "telephone_number": "858-824-2900",
            "fax_number": "858-824-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 780",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371232",
            "telephone_number": "858-824-2900",
            "fax_number": "858-824-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE WHITWAM MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "WHITWAM",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-824-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.