Individual provider Active NPI

Jason Feng Wang, MD, MS

  • Dermatology Physician
  • Oakland, CA
National Provider Identifier
1003471467
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A182416 Issued in CA
Practice address
3300 Webster St Ste 509
Oakland, CA 94609-3149
Phone
(510) 452-0330
NPI assigned
May 1, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A182416 CA Primary

Addresses

Primary practice location

3300 Webster St Ste 509
Oakland, CA 94609-3149

Mailing address

3300 Webster St Ste 509
Oakland, CA 94609-3149

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106001974 CA Practitioner - Dermatology 1254749336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center of the East Bay IncGroup PAC ID 1254861222, 4 clinicians
Ani Tajirian MDGroup PAC ID 4082844972, 4 clinicians

Practice addresses (Care Compare)

3300 Webster St
Suite 509
Oakland, CA 94609-3149
Phone (510) 452-0330

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as individual
Quality
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions999
Removal of nail tissue1-10
Removal or shaving of skin growth16
Skin biopsy55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
A182416CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of the East Bay, Inc. Single Specialty CurrentSince Nov 19, 2024 Accepting new patients
Ani Tajirian, MD Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

3511 School St
Lafayette, CA 94549
Phone (510) 452-0330

3675 Mt Diablo Blvd
Ste 320
Lafayette, CA 94549
Phone (510) 452-0330

3300 Webster St
Ste 509
Oakland, CA 94609
Phone (510) 452-0330

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1003471467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 509",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 509",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093149",
            "telephone_number": "510-452-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JASON",
        "middle_name": "FENG",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A182416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.