Active NPI
Circlemed Healthcare, a Medical Corporation
- Internal Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1023078235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A73379
- Legal business name
- CIRCLEMED HEALTHCARE, A MEDICAL CORPORATION
- Practice address
- 11160 Warner Ave
Ste 405
Fountain Valley, CA 92708-4056 - Phone
- (714) 263-0923
- Fax
- (714) 263-0924
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Weijune Wang, M.D.
- Title
- President
- Phone
- (714) 263-0923
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A73379 | CA | Primary |
Addresses
Primary practice location
11160 Warner Ave
Ste 405
Fountain Valley, CA 92708-4056
Mailing address
11160 Warner Ave
Ste 405
Fountain Valley, CA 92708-4056
Phone (714) 263-0923
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ65625Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 00A733790 | Medicaid | CA |
Other names 1
- John Wang, M.D.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1023078235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11160 WARNER AVE",
"address_2": "STE 405",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084056",
"telephone_number": "714-263-0923",
"fax_number": "714-263-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11160 WARNER AVE",
"address_2": "STE 405",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084056",
"telephone_number": "714-263-0923",
"fax_number": "714-263-0924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLEMED HEALTHCARE, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "WEIJUNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-263-0923",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A73379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ65625Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A733790",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "John Wang, M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.