Individual provider Active NPI

Linda Wang, M.D.

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1053301283
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A105712 Issued in CA
Practice address
10970 Shadow Creek Pkwy
Pearland Emergency Center
Pearland, TX 77584
Phone
(713) 770-7200
NPI assigned
Oct 27, 2005
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M1845 TX
Family Medicine Physician 207Q00000X A105712 CA Primary
Emergency Medicine Physician 207P00000X M1845 TX

Addresses

Primary practice location

10970 Shadow Creek Pkwy
Pearland Emergency Center
Pearland, TX 77584

Mailing address

PO Box 493
Orinda, CA 94563-0493
Phone (925) 388-0815

Other practice location 1

1450 Treat Blvd # 160
Walnut Creek, CA 94597-2168
Phone (925) 296-9000

Other identifiers 1

IdentifierTypeStateIssuer
8V1565OtherTXBCBSTX PROVIDER NO

Other names 1

  • Linda J Wang Other name

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
I20201012002482 CA Practitioner - Family PracticePractitioner - Emergency Medicine 2961421706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

1450 Treat Blvd
Suite 160
Walnut Creek, CA 94597-2168
Phone (925) 296-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1845TXMDEmergency Medicine Physician
A105712CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Oct 12, 2020 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Greater Houston Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

1450 Treat Blvd
Ste 160
Walnut Creek, CA 94597
Phone (925) 296-9000

1450 Treat Blvd
#160
Walnut Creek, CA 94597
Phone (925) 296-9000

1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828

Interoperability endpoints

  • Direct secure messaging: lkornguth137027@ehr.johnmuirhealth.com

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 1

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1053301283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945630493",
            "telephone_number": "925-388-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 SHADOW CREEK PKWY",
            "address_2": "PEARLAND EMERGENCY CENTER",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "713-770-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Treat Blvd # 160",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945972168",
            "country_code": "US",
            "telephone_number": "925-296-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "LINDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1845",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A105712",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M1845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER NO",
            "identifier": "8V1565",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "WANG",
            "middle_name": "J",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.