JON PHILLIP WACK M.D.
NPI 1609819622
Radiology - Diagnostic Radiology in San Francisco, CA

Active since June 14, 2006
3700 CALIFORNIA ST, SAN FRANCISCO, CA 94118(415) 750-6025 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jon Phillip Wack M.d. NPPES

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

JON PHILLIP WACK M.D. (NPI 1609819622) is an individual diagnostic radiology provider in San Francisco, California, licensed in California (A23313) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1609819622
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJON PHILLIP WACKCredential: M.D.
Location Address3700 CALIFORNIA STSan Francisco, CA 94118-1618
Mailing AddressP.o. Box 6102Novato, CA 94948-6102 · (415) 884-3418
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateFebruary 5, 2009
NPI 1609819622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A23313
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3700 CALIFORNIA ST, San Francisco, CA 94118

Other Identifiers 10

Medicare PIN00A233130CA
Medicare PIN00A233133CA
Medicare PIN00A233134CA
Medicare UPINA23475CA
Medicaid00A233130CA
Medicaid1609819622NV
Medicare PIN00A233131CA
Medicare PINBH121ZCA
Other300134151CA · Railroad Medicare
Medicare PIN00A233132CA

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.

Anesthesiology
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
Anesthesiology
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
Anesthesiology
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
Pathology (Clinical Pathology/Laboratory Medicine)
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
Genetic Counselor, MS
3700 CALIFORNIA ST, CALIFORNIA PACIFIC MEDICAL CENTER, G330
SAN FRANCISCO, CA 94118
Pathology (Clinical Pathology/Laboratory Medicine)
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
Genetic Counselor, MS
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
Genetic Counselor, MS
3700 CALIFORNIA ST, G330
SAN FRANCISCO, CA 94118

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 Jon Wack's NPI number?

The NPI number for Jon Wack is 1609819622. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Jon Wack located?

Jon Wack practices at 3700 California St, San Francisco, CA 94118. The listed phone number is (415) 750-6025.

What is Jon Wack's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jon Wack was last updated on February 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.