Active NPI
Wei Yu Tang, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Alameda, CA
National Provider Identifier
1053766485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 101011
- Practice address
- 2242 Santa Clara Ave
Alameda, CA 94501 - Phone
- (510) 523-1862
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 101011 | CA | Primary |
Addresses
Primary practice location
2242 Santa Clara Ave
Alameda, CA 94501
Mailing address
4900 Tassajara Rd Apt 1425
Dublin, CA 94568-4560
Other practice location 1
155 N Fresno St
Fresno, CA 93701-2302
Phone (559) 459-6927 ext. 6927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. Tang, D.M.D, Inc. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| M Elder D D S a Professional Corporation | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
2242 Santa Clara Ave
Alameda, CA 94501
Phone (510) 523-1862
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Alameda, CA
- NPI 1548868581
-
- Oral and Maxillofacial Surgery (Dentist)
- Pinole, CA
- NPI 1760633341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1053766485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 TASSAJARA RD APT 1425",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945684560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2242 SANTA CLARA AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "94501",
"telephone_number": "510-523-1862"
}
],
"practiceLocations": [
{
"address_1": "155 N Fresno St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937012302",
"country_code": "US",
"telephone_number": "559-459-6927 x6927",
"fax_number": "559-459-3773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANG",
"first_name": "WEI YU",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2021-07-20",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "101011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.