James T Wang, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G79462 Issued in CA

Practice address

29833 Santa Margarita Pkwy
100
Rancho Santa Margarita, CA 92688-3619

Phone

(949) 888-9288

Fax

(949) 888-8918

NPI assigned

Oct 24, 2006

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

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

Specialty

Dermatology

Education

University of California, Geffen School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

52.14 of 100Reported as individual

Quality

65.45

Promoting interoperability

0

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• James T Wang MD Inc

  • Dermatology Physician
  • Rancho Santa Margarita, CA
  • NPI 1366645145
  Medicare reassignment NPD Authorized official
• Joseph F Chow M.D., Inc.

  • Medical Specialty Clinic/Center
  • Huntington Beach, CA
  • NPI 1033440623
  NPD
• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Tustin, CA
  • NPI 1891986204
  NPD (past)
• Mission Hospital Regional Medical Center

  dba Providence Mission Hospital

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1013091396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29833 SANTA MARGARITA PKWY",
            "address_2": "100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883619",
            "telephone_number": "949-888-9288",
            "fax_number": "949-888-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29833 SANTA MARGARITA PKWY",
            "address_2": "100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883619",
            "telephone_number": "949-888-9288",
            "fax_number": "949-888-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17822 Beach Blvd Ste 468",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926477520",
            "country_code": "US",
            "telephone_number": "714-841-8818",
            "fax_number": "714-841-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JAMES",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G79462",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G79462",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G79462",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "G79462",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G79462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #12916)
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• Walmart Inc. (WalMart Pharmacy 10-5600)
• Crystal Walsh, LCSW
• Alexa Walthall, PHD
• Susan York Wegener, MSW, LCSW
• Michael Weiss, D.O.
• Danielle White, PPS
• Ashlyn Williams
• Gary Lee Williams

• Dermatology Physician in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.