DESMOND JY WAH


Address: 200 W. Arbor Dr., San Diego, CA 92103-9001
Phone: 8583496748

DESMOND JY WAH (NPI# 1366673568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366673568
Entity Type Individual
Full Name DESMOND JY WAH
Other Name DESMOND WAH
Credential MD
Practice Address 200 W. Arbor Dr.
San Diego
CA 92103-9001
Mailing Address 6920 Pointe Inverness Way Ste 200
Fort Wayne
IN 46804-7934
Practice Telephone 8583496748
Practice Fax Number 6195433183
Mailing Telephone 2604793516
Enumeration Date 2009-08-05
Last Update Date 2020-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208M00000X Hospitalist DR.0054052 CO Allopathic & Osteopathic Physicians
Y 208M00000X Hospitalist 01073560A IN Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist A143206 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 01473875 05
IN PENDING 05
OH 0066854 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
275 W 12th St, Peru, IN 469701638 7654728000 7654738244

Office Location

Street Address 200 W. ARBOR DR.
City SAN DIEGO
State CA
Zip Code 92103-9001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447222377 Joelle Marie Coletta Surgery 200 W. Arbor Dr., Mc 8892, San Diego, CA 92103-9001 2006-02-04
1225665938 Stacy Sang-ah Han Student in an Organized Health Care Education/Training Program 200 W. Arbor Dr., San Diego, CA 92103-8425 2020-03-24
1134756844 Nickolas Daniel Flores Student in an Organized Health Care Education/Training Program 200 W. Arbor Dr., San Diego, CA 92103-8425 2020-03-24
1316573215 Edward Hill Student in an Organized Health Care Education/Training Program 200 W. Arbor Dr., San Diego, CA 92103-8425 2020-03-23
1801422761 Kelly Jean Torosian Student in an Organized Health Care Education/Training Program 200 W. Arbor Dr., San Diego, CA 92103-8425 2020-03-22
1942836804 Shan Su Student in an Organized Health Care Education/Training Program 200 W. Arbor Dr., San Diego, CA 92103-8425 2020-03-22
1689200545 David Hibbert Student in an Organized Health Care Education/Training Program 200 W. Arbor Dr., San Diego, CA 92103 2020-03-22
1942836952 Helena Elizabeth Gali Student in an Organized Health Care Education/Training Program 200 W. Arbor Dr., San Diego, CA 92103-8425 2020-03-21
1457987430 Edward Chia-heng Wang Student in an Organized Health Care Education/Training Program 200 W. Arbor Dr., San Diego, CA 92103-8425 2020-03-21
1316573363 Jacob John Rozich Student in an Organized Health Care Education/Training Program 200 W. Arbor Dr., San Diego, CA 92103-8425 2020-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124481098 Clari Nguyen Hospitalist 9455 Clairemont Mesa Blvd # Ca92123, San Diego, CA 92123-1297 2016-03-30
1609294313 Sanjeev Tyagi Hospitalist 200 W Arbor Dr # 8425, San Diego, CA 92103-1911 2014-03-31
1912206483 Alan Chia Yi Lin Hospitalist 4077 Fifth Ave # Mer127, San Diego, CA 92103-2105 2011-03-22
1952625485 Ambrose Health P C Hospitalist 15622 Jube Wright Ct, San Diego, CA 92127-5101 2010-03-26
1518102391 Sahar Mosadegh Hospitalist 501 Washington St Ste 525, San Diego, CA 92103-2239 2008-12-09
1497944656 Robert E El-kareh Hospitalist 200 W Arbor Dr # 8485, San Diego, CA 92103-1911 2007-10-23
1669944369 Kathleen Marie Mackessy Hospitalist 6155 Cornerstone Ct E Ste 220, San Diego, CA 92121-4737 2018-12-19
1730618521 Ali Asghar Jr. Hospitalist 200 W Arbor Dr, San Diego, CA 92103-9000 2017-06-06
1588198147 Sherry Zhang Hospitalist 200 W Arbor Dr, San Diego, CA 92103-9000 2017-04-20
1134651607 Samantha Spilman I Hospitalist 200 W Arbor Dr, San Diego, CA 92103-9000 2017-04-03
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Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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