AUDREY SERENA WACK
NPI 1194578013
Student in an Organized Health Care Education/Training Program in San Jose, CA
About Audrey Serena Wack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDREY SERENA WACK (NPI 1194578013) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since April 2024.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Audrey Wack's NPI number?
The NPI number for Audrey Wack is 1194578013. It was assigned to this individual provider in the NPPES registry on April 10, 2024.
Where is Audrey Wack located?
Audrey Wack practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 885-5000.
What is Audrey Wack's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Audrey Wack was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Audrey Serena Wack · NPI 1194578013
Student in an Organized Health Care Education/Training Program provider in San Jose, California. Individual provider, active in the CMS NPPES registry since April 10, 2024.
## Identity
- **NPI:** 1194578013 (Entity type: Individual)
- **Enumerated:** April 10, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE, San Jose, CA 95128-2699
- **Phone:** (408) 885-5000
## Record status
- **NPPES last updated:** August 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194578013) · Data from the CMS NPPES public registry.