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

Individual provider Emergency Medicine Physician · NPI 1649293119

Dr. Wyatt Jaffe, MD is an Emergency Medicine Physician in San Andreas, California. Works from 2 locations. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone: (209) 754-2510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1431 N Claremont Ave, Chicago, IL 60622-1702 — (773) 278-2000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036103047 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A79244 (CA)

Record details

NPI number1649293119
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address768 Mountain Ranch Rd, San Andreas, CA 95249-9707

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