Doctor profile · Federal record
Dr. Glenn Wakam, MD
Surgery Physician (CMS: General Surgery) · Internal Medicine Physician · San Diego, CA
- NPI 1972952422
- Accepts Medicare
- 10 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
4510 Executive Dr
San Diego, CA 921213021
(800) 926-8273 - Additional location
-
3020 Childrens Way
San Diego, CA 921234223
(858) 576-1700 - Additional location
-
9300 Campus Point Dr
La Jolla, CA 920371300 - Mailing address
-
File 57326
Los Angeles, CA 900747326
Credentials & registration
- NPI registered
- June 2016 — 10 yrs on file
- Profile last updated
- September 5, 2025
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (2)
- California #A203171 · Michigan #4301117353
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972952422. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$131
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Surgical Specialties Corporation (US), INC. (Dba Corza Medical) | 2 | $130.53 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Glenn Wakam's medical specialty?
Dr. Glenn Wakam practices Surgery Physician in San Diego, CA.
Where does Dr. Glenn Wakam practice?
Dr. Glenn Wakam practices at 4510 Executive Dr, San Diego, CA 921213021. Office phone: 8009268273.
What is Dr. Glenn Wakam's NPI?
Dr. Glenn Wakam's National Provider Identifier (NPI) is 1972952422, issued by NPPES.
Does Dr. Glenn Wakam accept Medicare assignment?
Yes. Dr. Glenn Wakam accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.