Active NPI
James Matthew Wantuck, M.D.
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1821301110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A117984
- Practice address
- 2261 Market St # 86887
San Francisco, CA 94114-1612 - Phone
- (855) 516-7755
- Fax
- (650) 672-3681
- NPI assigned
- Jul 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A117984 | CA | Primary |
| Family Medicine Physician | 207Q00000X | A117984 | CA |
Addresses
Primary practice location
2261 Market St # 86887
San Francisco, CA 94114-1612
Mailing address
2261 Market St # 86887
San Francisco, CA 94114-1612
Phone (855) 516-7755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prsca Medical Group PC | Family Medicine | Current | Accepting new patients |
| Prsnj Medical Group PC | Family Medicine | Current | Accepting new patients |
| Prsmt Medical Group PC | Family Medicine | Current | Accepting new patients |
| Executive Medicine, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
1212 Broadway Plz
Ste 2100
Walnut Creek, CA 94596
Phone (650) 485-3459
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Walnut Creek, CA
- NPI 1518782234
-
- Family Medicine Physician
- Walnut Creek, CA
- NPI 1881579837
-
- Family Medicine Physician
- Walnut Creek, CA
- NPI 1639054687
-
- Internal Medicine Physician
- Duarte, CA
- NPI 1407291347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1821301110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2261 MARKET ST # 86887",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141612",
"telephone_number": "855-516-7755",
"fax_number": "650-672-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2261 MARKET ST # 86887",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141612",
"telephone_number": "855-516-7755",
"fax_number": "650-672-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANTUCK",
"first_name": "JAMES",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-15",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A117984",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A117984",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.