Yen Tun Wang, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A123156 Issued in CA

Practice address

888 S Figueroa St Ste 1050
Los Angeles, CA 90017-5310

Phone

(213) 319-3339

Fax

(213) 408-4414

NPI assigned

Mar 31, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• James Yen Tun Wang Former name

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

Harvard Medical School, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James Y Wang MD IncGroup PAC ID 7618213406, 15 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• James Y. Wang, MD, Inc.

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1538640669
  Medicare reassignment Care Compare group NPD
• Center for Advanced Dermatology Inc.

  • Dermatology Physician
  • Arcadia, CA
  • NPI 1689875197
  Medicare reassignment NPD
• Phillip H a Lee MD and Center for Advanced Dermatology

  • Preferred Provider Organization
  • Glendale, CA
  • NPI 1124497524
  Medicare reassignment NPD
• Rebecca Fitzgerald M.D. , Inc.

  • Procedural Dermatology Physician
  • Los Angeles, CA
  • NPI 1083954226
  Medicare reassignment NPD
• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804

  Dermatology

  NPD

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1013206945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 1050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175310",
            "telephone_number": "213-319-3339",
            "fax_number": "213-408-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S FIGUEROA ST STE 1050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175310",
            "telephone_number": "213-319-3339",
            "fax_number": "213-408-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YEN",
        "middle_name": "TUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A123156",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A123156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A123156",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "WANG",
            "middle_name": "YEN TUN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William P Wang, DDS
• Xiao Ben Wang, M.D.
• Xueyou Wang
• Xunzhang Wang, MD.
• Yan Wang, M.D.
• Yeunhee Wang, PHARM.D.
• Ying Wang, PHARM.D.
• Yinuo Wang
• Yuding Wang, MD MSC FRCSC
• Yue Wang

• Dermatology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.