Individual provider Active NPI

Jessica Wang, NURSE PRACTITIONER

  • Nurse Practitioner
  • Rosemead, CA
National Provider Identifier
1003299033
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95002105 Issued in CA
Practice address
8399 Garvey Ave
Rosemead, CA 91770-2650
Phone
(888) 530-4415
Fax
(833) 471-4510
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95002105 CA Primary

Addresses

Primary practice location

8399 Garvey Ave
Rosemead, CA 91770-2650

Mailing address

22715 Mountain Laurel Way
Diamond Bar, CA 91765-2527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151015001624 CA Practitioner - Nurse Practitioner 8527377431 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95002105CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC CurrentSince Oct 12, 2023 Accepting new patients
Ngo Phan MD Inc CurrentSince Sep 1, 2015 Accepting new patients
GN Medical Associates, Inc. CurrentSince Oct 12, 2023 Accepting new patients
Albion Medical Partners of California West P C CurrentSince Feb 1, 2021 Accepting new patients

Locations

330 S Garfield Ave
Ste 268
Alhambra, CA 91801
Phone (626) 281-3265

2835 W Valley Blvd
Alhambra, CA 91803
Phone (626) 281-3265

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Interoperability endpoints

  • Direct secure messaging: jessica.wang.6@17371.direct.athenahealth.com
  • Direct secure messaging: jessica.wang.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1003299033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22715 MOUNTAIN LAUREL WAY",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8399 GARVEY AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702650",
            "telephone_number": "888-530-4415",
            "fax_number": "833-471-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JESSICA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.