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JERRY KIYOHARU WADA M.D.
NPI 1487764379
Internal Medicine - Hematology & Oncology in Glendale, CA

Active since August 30, 2006
1505 WILSON TER STE 200, GLENDALE, CA 91206(818) 409-0105(818) 409-0151 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2021, Mar 13, 2020, Oct 18, 2019 (3 updates tracked since 2019).

About Jerry Kiyoharu Wada M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY KIYOHARU WADA M.D. (NPI 1487764379) is an individual hematology & oncology provider in Glendale, California, licensed in California (G22808) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487764379
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJERRY KIYOHARU WADACredential: M.D.
Location Address1505 WILSON TER STE 200Glendale, CA 91206-4073
Mailing Address541 W Colorado St Ste 205Glendale, CA 91204-3640 · (323) 254-0046 · Fax (323) 488-9782
Phone(818) 409-0105
Fax(818) 409-0151
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 12, 20213 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1487764379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CA · G22808
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1505 WILSON TER STE 200, Glendale, CA 91206
Open in Google Maps ↗

Other Identifiers 2

Medicaid00G228080CA
OtherG22808CA · Ca Medical License

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%47 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
79%28 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
29%370 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
60%370 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VACHE SHARYAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1505 WILSON TER STE 200
GLENDALE, CA 91206
Los Angeles County (818) 822-7977
SARO KASPARIAN M.D.
Internal Medicine (Hematology & Oncology)
1505 WILSON TER STE 200
GLENDALE, CA 91206
Los Angeles County (818) 409-0105
ANNA AKOPYAN
Nurse Practitioner (Adult Health)
1505 WILSON TER STE 200
GLENDALE, CA 91206
Los Angeles County (818) 409-0105
LOS ANGELES HEMATOLOGY ONCOLOGY MEDICAL GROUP
Pharmacy (Clinic Pharmacy)
1505 WILSON TER STE 200
GLENDALE, CA 91206
Los Angeles County (818) 409-0105
GINA ALEXANDRA KHACHATRIAN MSPA
Physician Assistant
1505 WILSON TER STE 200
GLENDALE, CA 91206
Los Angeles County (323) 646-0716
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Non-Pharmacy Dispensing Site
1505 WILSON TER STE 200
GLENDALE, CA 91206
Los Angeles County (323) 910-4060

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 Jerry Wada's NPI number?

The NPI number for Jerry Wada is 1487764379. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Jerry Wada located?

Jerry Wada practices at 1505 Wilson Ter Ste 200, Glendale, CA 91206. The listed phone number is (818) 409-0105.

What is Jerry Wada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Jerry Wada was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.