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

Jazmin Wise

Individual provider Adult Medicine Physician · NPI 1558190751

Jazmin Wise is an Adult Medicine Physician in Oakland, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
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Practice location Address checks out

275 W Macarthur Blvd
Oakland, CA 94611-5641
Phone: (510) 752-1000
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Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 95020648 (CA)

Record details

NPI number1558190751
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 28, 2024
Mailing address484 Lake Park Ave # 115, Oakland, CA 94610-2730

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