Individual provider Active NPI

Chung-PO Peter Wang, D.C., L.AC.

  • Chiropractor
  • El Monte, CA
National Provider Identifier
1013246263
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 31223 Issued in CA
Practice address
9939 Garvey Ave Ste a
El Monte, CA 91733-4712
Phone
(626) 442-0800
Fax
(626) 442-3800
NPI assigned
Dec 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 13178 CA
Chiropractor 111N00000X DC 31223 CA Primary

Addresses

Primary practice location

9939 Garvey Ave Ste a
El Monte, CA 91733-4712

Mailing address

9939 Garvey Ave Ste a
El Monte, CA 91733-4712
Phone (626) 442-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180605001873 CA Practitioner - Chiropractic 8729343140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 31223CAMDChiropractor
AC 13178CAMDAcupuncturist
31223CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Wang Chiropractic Corp. Chiropractor CurrentSince Apr 1, 2011 Accepting new patients

Locations

9939 Garvey Ave
Ste B
El Monte, CA 91733
Phone (626) 442-0800

9939 Garvey Ave
Ste A
El Monte, CA 91733
Phone (626) 442-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1013246263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9939 GARVEY AVE STE A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917334712",
            "telephone_number": "626-442-0800",
            "fax_number": "626-442-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 GARVEY AVE STE A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917334712",
            "telephone_number": "626-442-0800",
            "fax_number": "626-442-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CHUNG-PO",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13178",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 31223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.