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DR. JACOB MICKEY WYSE
NPI 1619599354
Internal Medicine in San Diego, CA

Active since May 16, 2020
601 MCCAIN BLVD, SAN DIEGO, CA 92135(619) 545-6128 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 11, 2024, May 16, 2020 (2 updates tracked since 2020).

About Dr. Jacob Mickey Wyse NPPES

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

DR. JACOB MICKEY WYSE (NPI 1619599354) is an individual internal medicine provider in San Diego, California, licensed in Virginia (0101273710) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1619599354
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACOB MICKEY WYSE
Location Address601 MCCAIN BLVDSan Diego, CA 92135-7046
Mailing AddressPo Box 357135San Diego, CA 92135-7135
Phone(619) 545-6128
Sole ProprietorNo
Enumeration DateMay 16, 2020
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1619599354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101273710
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

601 MCCAIN BLVD, San Diego, CA 92135
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Other Providers at the Same Location NPPES 3

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

BRANCH MEDICAL CLINIC CORONADO
Clinic/Center (Military/U.S. Coast Guard Outpatient)
601 MCCAIN BLVD, NAVAL BASE CORONADO
SAN DIEGO, CA 92135
San Diego County (619) 545-7245
KRISTIN BALA MD
Military Health Care Provider
601 MCCAIN BLVD
SAN DIEGO, CA 92135
San Diego County (619) 545-4359
DR. GABRIEL T GIZAW M.D, MPH
General Practice
601 MCCAIN BLVD, NMRTU NORTH ISLAND
SAN DIEGO, CA 92135
San Diego County (619) 545-4263

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 Jacob Wyse's NPI number?

The NPI number for Jacob Wyse is 1619599354. It was assigned to this individual provider in the NPPES registry on May 16, 2020.

Where is Jacob Wyse located?

Jacob Wyse practices at 601 Mccain Blvd, San Diego, CA 92135. The listed phone number is (619) 545-6128.

What is Jacob Wyse's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jacob Wyse was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.