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

Jon P. Wakamatsu, MD

Individual provider Family Medicine Physician · NPI 1871609008

Jon P. Wakamatsu, MD is a Family Medicine Physician in Phoenix, Arizona. Licensed in Wyoming. Registered with an NPI since 2006.

Licensed in
WY
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

1441 N 12th St
Phoenix, AZ 85006-2837
Phone: (602) 747-4577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5418A (WY)

Record details

NPI number1871609008
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESJune 15, 2009

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