Individual provider Active NPI

Jing Wang, MD

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1063167740
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C176086 Issued in CA
Practice address
1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone
(323) 906-6048
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C176086 CA Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X C176086 CA

Addresses

Primary practice location

1300 N Vermont Ave
Los Angeles, CA 90027-6098

Mailing address

1300 N Vermont Ave Ste 101
Los Angeles, CA 90027-6061
Phone (323) 644-4445

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
I20220621001415 CA Practitioner - Ophthalmology 4183003296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
McGill University, Faculty of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Medical CorporationGroup PAC ID 4981597481, 6 clinicians
Cha Medical and Surgical Group PCGroup PAC ID 7618216607, 11 clinicians

Practice addresses (Care Compare)

5832 Beach Blvd
Unit 109a
Buena Park, CA 90621-5500
Phone (714) 228-1888

8501 Brimhall Rd
Suite 402
Bakersfield, CA 93312-2257
Phone (661) 665-2020

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C176086CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Medical Corporation Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Eyecare Medical Corporation Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Cha Medical and Surgical Group, PC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Eyesthetica PastSince Jul 3, 2024 Accepting new patients
Charles D. Fritch, M.D., Inc Ophthalmology PastSince Jul 1, 2022 Accepting new patients

Locations

19038 Norwalk Blvd
Artesia, CA 90701
Phone (562) 653-9500

8501 Brimhall Rd
Ste 402
Bakersfield, CA 93312
Phone (661) 665-2020

5832 Beach Blvd
Unit 109A
Buena Park, CA 90621
Phone (714) 228-1888

2030 Pacific Coast Hwy
Lomita, CA 90717
Phone (310) 325-8018

1300 N Vermont Ave
#101
Los Angeles, CA 90027
Phone (310) 403-4038

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

8635 W 3rd St
Ste 360W
Los Angeles, CA 90048
Phone (310) 657-2777

1300 N Vermont Ave
Ste 101
Los Angeles, CA 90027
Phone (323) 644-4445

505 S Virgil Ave
Ste 300
Los Angeles, CA 90020
Phone (213) 384-5222

50 Central Ct
Pasadena, CA 91105
Phone (626) 662-7758

625 S Fair Oaks Ave
Ste 265
Pasadena, CA 91105
Phone (626) 564-0004

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg
  • Direct secure messaging: jwang@ecmc.intellechartdirect.net

Organizations & group practices 5

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.

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": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1063167740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276061",
            "telephone_number": "323-644-4445",
            "fax_number": "323-644-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276098",
            "telephone_number": "323-906-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C176086",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "C176086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.