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

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1063723781

Jacob O Wardwell, DO is a Sports Medicine (Family Medicine) Physician in San Francisco, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

450 Sutter St Rm 1341
San Francisco, CA 94108-4007
Phone: (415) 606-0309
Fax: (415) 862-0626
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Additional practice locations (1)

  • Three Embarcadero Center, San Francisco, CA 94111 — (415) 495-2225

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 12776 (CA)

Record details

NPI number1063723781
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 28, 2010
Last updated in NPPESFebruary 21, 2018

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