Ryan Wang MD a Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

RYAN WANG MD A PROFESSIONAL CORPORATION

Practice address

11878 Avenue of Industry
San Diego, CA 92128-3423

Phone

(858) 925-7346

Fax

(619) 567-1011

NPI assigned

Jun 21, 2019

Last updated

Jul 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Y Wang, MDNPI 1770960668

Title

Psychiatrist

Phone

(858) 925-7346

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Yinghan Wang, M.D.

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1770960668
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1013578939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "858-925-7346",
            "fax_number": "858-384-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11878 AVENUE OF INDUSTRY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283423",
            "telephone_number": "858-925-7346",
            "fax_number": "619-567-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN WANG MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "858-925-7346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RWW Home & Community Rehab Services, Inc.
• Ryan M. Wilke, D.O., a Medical Corporation
• Kaila Ryan Nduaguba, PT
• Ryan Silbernick
• Ryan Wallrich DMD, PC (Harbor Family Dental)
• Ryan William McIntyre, MD Inc.
• Anna R Ryan, PHD LMFT
• Ashley Ryan
• Candice Ryan, BCBA, NCLBA
• Cecily Joan Ryan, RN

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.