Dr Glenn Kham Wakam, MD in San Diego, CA

Dr Glenn Kham Wakam, MD is a medicare enrolled "Surgery" physician in San Diego, California. His current practice location is 4510 Executive Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (800) 926-8273.

Dr Glenn Kham Wakam is licensed to practice in California (license number A203171) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972952422.

Contact Information

	Dr Glenn Kham Wakam, MD
	4510 Executive Dr, San Diego, CA 92121-3021
	(800) 926-8273
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Glenn Kham Wakam
Gender	Male
Speciality	Surgery
Location	4510 Executive Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972952422
Provider Enumeration Date: 06/06/2016
Last Update Date: 09/05/2025

Medicare PECOS Information:

PECOS PAC ID: 3678863313
Enrollment ID: I20230811001404

Medical Identifiers

Medical identifiers for Dr Glenn Kham Wakam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972952422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A203171 (California)	Primary
207R00000X	Internal Medicine	4301117353 (Michigan)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn Kham Wakam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Glenn Kham Wakam, MD File 57326, Los Angeles, CA 90074-7326 Ph: (800) 926-8273	Dr Glenn Kham Wakam, MD 4510 Executive Dr, San Diego, CA 92121-3021 Ph: (800) 926-8273

Reviews and Comments

Surgery Doctors in San Diego, CA

Dr. Samuel R Obiekwe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 W G St # 315, San Diego, CA 92101 Phone: 909-816-1032
Dr. Ahmed Sirageldin Suliman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8890, San Diego, CA 92103 Phone: 619-294-3746
Mathias John Kill, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 34730 Bob Wilson Dr, General Surgery Department, San Diego, CA 92134 Phone: 619-532-7575 Fax: 619-532-7673
Scott E. Greenway, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Dr. Kristian L. Brown, M.D., PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, Suite 250, San Diego, CA 92123 Phone: 858-637-4800 Fax: 858-637-4801
Dr. Robert J Manly, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8010 Frost St, San Diego, CA 92123 Phone: 858-939-8350 Fax: 858-939-8360
Dr. Michael Bouvet, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103 Phone: 858-822-6191 Fax: 858-822-6192

Dr Glenn Kham Wakam, MD - Medicare Surgery in San Diego, CA