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

Jacquelyn Lee Vander Wall, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1699807792

Jacquelyn Lee Vander Wall, MD is an Internal Medicine in Los Alamitos, California. Graduated from University of California, San Francisco School of Medicine in 1987, 39 years ago. Practices with Healthcare Partners Affiliates Medical Group, a 790-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
39
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3460 Katella Ave
Los Alamitos, CA 90720-2334
Phone: (702) 579-3203
Show map & directions

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

Additional practice locations (1)

  • 11 Technology Dr, Irvine, CA 92618-2302 — (949) 923-3250

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence G065045 (CA)

Record details

NPI number1699807792
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 12, 2007
Last updated in NPPESNovember 30, 2025
Certification dateNovember 30, 2025
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Healthcare Partners Affiliates Medical Group — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare