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Export Provider Record NPI 1053690974
Jennie WeiM.D.
Active
NPI Number1053690974
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine
Provider Details
NPI1053690974
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2011-08-09
Last Updated2012-03-06
Mailing Address9999 Mira Mesa Blvd
San Diego, CA 92131-1006
United States
Phone: (858) 271-6962
📍 View Map
Primary Practice Address9999 Mira Mesa Blvd
San Diego, CA 92131-1006
United States
Phone: (858) 271-6962
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal MedicineCAA82456
Export Provider Record NPI 1053690974
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About NPI 1053690974

Jennie Wei M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053690974. The primary specialty listed is Internal Medicine. The provider is located in San Diego, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-08-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053690974?

NPI 1053690974 belongs to Jennie Wei M.D., a Internal Medicine in San Diego, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053690974 active?

The current status of NPI 1053690974 in the NPPES registry is Active. The record was last updated on 2012-03-06.

What specialty is NPI 1053690974?

NPI 1053690974 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053690974?

You can verify NPI 1053690974 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053690974?

The primary practice address on file for NPI 1053690974 is 9999 Mira Mesa Blvd, San Diego, CA 92131-1006. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053690974 issued?

NPI 1053690974 was first issued (enumerated) on 2011-08-09. The NPPES record was last updated on 2012-03-06.

Practice Location Map

Jennie Wei is located at 9999 Mira Mesa Blvd, San Diego, CA. Use the map below to find directions or verify the practice location.

📍 9999 Mira Mesa Blvd, San Diego, CA 92131-1006  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jennie Wei. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053690974. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal MedicineA82456CA
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162