Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffrey Wannares

Individual provider Surgery Physician · NPI 1851728141

Dr. Jeffrey Wannares is a General Surgery in LA Mesa, California. Qualified in 2011, 15 years ago. Practices with Emergency and Acute Care Medical Corporation, a 439-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
15
Licensed in
NC
In the registry since
2013

Practice location Address checks out

8554 La Mesa Blvd
LA Mesa, CA 91942-9558
Phone: (619) 698-4471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2017-01040 (NC)

Record details

NPI number1851728141
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 1, 2013
Last updated in NPPESAugust 1, 2020
Certification dateAugust 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Emergency And Acute Care Medical Corporation — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in LA Mesa