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AUDREY SERENA WACK
NPI 1194578013
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since April 10, 2024
751 S BASCOM AVE, SAN JOSE, CA 95128(408) 885-5000 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1194578013
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAUDREY SERENA WACK
Location Address751 S BASCOM AVESan Jose, CA 95128-2699
Mailing Address751 S Bascom AveSan Jose, CA 95128-2699 · (408) 885-5000
Phone(408) 885-5000
Sole ProprietorNo
Enumeration DateApril 10, 2024
NPPES CertifiedApril 10, 2024
✔ NPI 1194578013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

751 S BASCOM AVE, San Jose, CA 95128
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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.

DR. ALFONSO F BANUELOS MD
Internal Medicine
751 S BASCOM AVE, HOSPITAL ADMINISTRATION
SAN JOSE, CA 95128
Santa Clara County (408) 885-4001
PRACHI S BHISE MD
Pediatrics
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
DR. JENNY DAI BILLER M.D.
Obstetrics & Gynecology
751 S BASCOM AVE, DEPARTMENT OF OB/GYN
SAN JOSE, CA 95128
Santa Clara County (408) 885-5550
EDWARD KIRK NEELY MD
Pediatrics (Pediatric Endocrinology)
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-7422
ROBERT WILLIAM REID ARCHIBALD MBCHB
Pathology (Anatomic Pathology)
751 S BASCOM AVE, PATHOLOGY DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-6553
RAYMOND LEE AZZI MD
Pathology (Anatomic Pathology & Clinical Pathology)
751 S BASCOM AVE, PATHOLOGY DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-6552
LEE ANNA SCHWARTZ BOTKIN MD
Pediatrics
751 S BASCOM AVE, PEDIATRICS DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-5445
MICHAEL ALLEN BRESSACK MD
Pediatrics
751 S BASCOM AVE, PEDIATRICS DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-5405

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 April 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.