NPIMap

Individual provider Active NPI

Yan Wang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Glendora, CA
National Provider Identifier
1063472827
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A76292 Issued in CA
Practice address
250 S Grand Ave
Glendora, CA 91741-4218
Phone
(626) 857-3120
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X A76292 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A76292 CA Primary

Addresses

Primary practice location

250 S Grand Ave
Glendora, CA 91741-4218

Mailing address

PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041230000785 CA Practitioner - Pathology 8022076488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1115 S Sunset Ave
Department of Pathology
West Covina, CA 91790-3940
Phone (626) 962-4011

1701 Santa Anita Ave
South El Monte, CA 91733-3411
Phone (626) 350-7917

250 S Grand Ave
Department of Pathology
Glendora, CA 91740-4218
Phone (626) 857-3120

438 W Las Tunas Dr
Department of Pathology
San Gabriel, CA 91776-1216
Phone (626) 570-6597

525 N Garfield Ave
Department of Pathology
Monterey Park, CA 91754-1202
Phone (626) 307-2067

900 S Atlantic Blvd
Department of Pathology
Monterey Park, CA 91754-4716
Phone (626) 570-5752

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76292CAMDPharmacist
A76292CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Cytopathology CurrentSince May 19, 2004 Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Cytopathology Current Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Cytopathology Current Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Cytopathology CurrentSince May 19, 2004 Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Cytopathology Past Accepting new patients

Locations

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

531 W College St
Los Angeles, CA 90012
Phone (213) 268-5000

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

438 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 289-5454

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

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 5

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1063472827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414218",
            "telephone_number": "626-857-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "A76292",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A76292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.