Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jakob Vander Wal

Individual provider Licensed Vocational Nurse · NPI 1205744224

Jakob Vander Wal is a Licensed Vocational Nurse in Santa Monica, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

907 Pico Blvd
Santa Monica, CA 90405-1326
Phone: (310) 314-6200
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence VN761120 (CA)

Record details

NPI number1205744224
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026

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