Individual provider Active NPI

Wangping Zhao, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1043239569
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A90016 Issued in CA
Practice address
2400 Moorpark Ave
Suite #319
San Jose, CA 95128-2631
Phone
(408) 975-2763
Fax
(408) 975-2764
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A90016 CA Primary

Addresses

Primary practice location

2400 Moorpark Ave
Suite #319
San Jose, CA 95128-2631

Mailing address

2400 Moorpark Ave
Suite #319
San Jose, CA 95128-2631
Phone (408) 975-2763

Other identifiers 1

IdentifierTypeStateIssuer
00A900160OtherCABLUE SHIELD

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
I20051123000655 CA Practitioner - Family Practice 2567482276 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Americans for Community Involvement of Santa Clara County, Inc CurrentSince Jul 16, 2007 Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc Current Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc CurrentSince Jul 16, 2007 Accepting new patients

Locations

266 N Jackson Ave
San Jose, CA 95116
Phone (408) 937-7581

2400 Moorpark Ave
Ste 319
San Jose, CA 95128
Phone 4089752730428

749 Story Rd
Ste 50
San Jose, CA 95122

2400 Moorpark Ave
Ste 300
San Jose, CA 95128
Phone (408) 975-2763

Interoperability endpoints

  • Direct secure messaging: wzhao591346@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1043239569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE",
            "address_2": "SUITE #319",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282631",
            "telephone_number": "408-975-2763",
            "fax_number": "408-975-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE",
            "address_2": "SUITE #319",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282631",
            "telephone_number": "408-975-2763",
            "fax_number": "408-975-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAO",
        "first_name": "WANGPING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A90016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A900160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.