Individual provider Active NPI

Pamela Wang, M.D.

  • Internal Medicine Physician
  • Danville, CA
National Provider Identifier
1033188602
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G77072 Issued in CA
Practice address
901 San Ramon Valley Blvd
#130
Danville, CA 94526-4034
Phone
(925) 820-6456
Fax
(925) 820-1134
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G77072 CA Primary

Addresses

Primary practice location

901 San Ramon Valley Blvd
#130
Danville, CA 94526-4034

Mailing address

901 San Ramon Valley Blvd
#130
Danville, CA 94526-4034
Phone (925) 820-6456

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050715000631 CA Practitioner - Internal Medicine 8426084914 Reassigns benefits to 1 organization
Practice locations: Danville, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Pennsylvania, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5601 Norris Canyon Rd
Suite 220
San Ramon, CA 94583-5407
Phone (925) 820-0126

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G77072CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Health and Wellness a Professional Corporation Internal Medicine CurrentSince Mar 8, 2022 Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
John Muir Health Past Accepting new patients
Avenues for Health Past Accepting new patients

Locations

5601 Norris Canyon Rd
Ste 220
San Ramon, CA 94583
Phone (925) 249-9900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1033188602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAN RAMON VALLEY BLVD",
            "address_2": "#130",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264034",
            "telephone_number": "925-820-6456",
            "fax_number": "925-820-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAN RAMON VALLEY BLVD",
            "address_2": "#130",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264034",
            "telephone_number": "925-820-6456",
            "fax_number": "925-820-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "PAMELA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.