Organization Active NPI

Circlemed Healthcare, a Medical Corporation

  • Internal Medicine Physician
  • Fountain Valley, CA
National Provider Identifier
1023078235
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73379 Issued in CA
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

Updated by the provider on Oct 21, 2011

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ZZZ65625ZOtherCABLUE SHIELD OF CALIFORNIA
00A733790MedicaidCA

Other names 1

  • John Wang, M.D. Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.