Individual provider Active NPI

Jennifer P Wang, MD

  • Ophthalmology Physician
  • Mountain View, CA
National Provider Identifier
1003817776
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A76003 Issued in CA
Practice address
525 South Drive
Suite 219
Mountain View, CA 94040
Phone
(650) 969-4600
Fax
(650) 969-1936
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A76003 CA Primary

Addresses

Primary practice location

525 South Drive
Suite 219
Mountain View, CA 94040

Mailing address

525 South Drive
Suite 219
Mountain View, CA 94040
Phone (650) 969-4600

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
I20040610001226 CA Practitioner - Ophthalmology 2567445588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wright State University Boonshoft School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 S Dr
Suite 219
Mountain View, CA 94040-4211
Phone (650) 969-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.83 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
56.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76003CAMDPharmacist
A76003CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jwang Medical Group, Inc. Ophthalmology CurrentSince Oct 13, 2006 Accepting new patients
Studio Optics Optometric Group, Inc. Ophthalmology Past Accepting new patients
El Camino Hospital PastSince Oct 13, 2006 Accepting new patients

Locations

3520 Alameda de las Pulgas
Menlo Park, CA 94025
Phone (650) 321-4500

525 South Dr
Ste 219
Mountain View, CA 94040
Phone (650) 321-4500

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1003817776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SOUTH DRIVE",
            "address_2": "SUITE 219",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-969-4600",
            "fax_number": "650-969-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SOUTH DRIVE",
            "address_2": "SUITE 219",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-969-4600",
            "fax_number": "650-969-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A76003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.