Holly Wang MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A69635 Issued in CA

Legal business name

HOLLY WANG MD INC

Doing business as

Kindercare Pediatrics

Practice address

50 Alessandro PL
Suite 200
Pasadena, CA 91105-3149

Phone

(626) 696-1234

Fax

(626) 696-1230

NPI assigned

Jan 26, 2011

Last updated

Jan 26, 2011By 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

Ezekiel Wang

Title

Practice Manager

Phone

(626) 696-1234

Specialties & licenses 1

Addresses

Other names 1

• Kindercare Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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.

• Holly Wang, MD

  • Pediatrics Physician
  • Pasadena, CA
  • NPI 1730259524
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1043515877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50127",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911150127",
            "telephone_number": "626-696-1234",
            "fax_number": "626-696-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "address_2": "SUITE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-696-1234",
            "fax_number": "626-696-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY WANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "EZEKIEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "626-696-1234"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A69635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindercare Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abby Holland
• Susan G. Holland, PH.D.
• Veronica Holland
• Taylor Hollier
• Jasmine Holloway
• Michelle Holman
• Joilyn Holmes, LMFT
• Keith Holmes
• Latisha Holmes
• Josine Nicolien Holsen, ASW

• Pediatrics Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.