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

Jerry Kiyoharu Wada, MD

Individual provider Hematology & Oncology Physician · NPI 1487764379

Jerry Kiyoharu Wada, MD is a Hematology & Oncology Physician in Glendale, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

1505 Wilson Ter Ste 200
Glendale, CA 91206-4073
Phone: (818) 409-0105
Fax: (818) 409-0151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence G22808 (CA)

Record details

NPI number1487764379
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

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