Active NPI
Oliver Wang, D.P.M.
- Podiatrist
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4275
- Practice address
- 241 W Olive Ave
Burbank, CA 91502-1825 - Phone
- (818) 848-5583
- Fax
- (818) 848-1872
- NPI assigned
- Sep 7, 2006
- Last updated
- Apr 6, 2011
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4275 | CA | |
| Podiatrist | 213E00000X | E4275 | CA | Primary |
Addresses
Primary practice location
241 W Olive Ave
Burbank, CA 91502-1825
Mailing address
268 N Mar Vista Ave Apt 4
Pasadena, CA 91106-5314
Phone (818) 848-5583
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 N Milpas St
Santa Barbara, CA 93103-3204
Phone (805) 845-1245
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 158 |
| Removal of skin lesions | 39 |
| Removal of nail tissue | 1106 |
| Removal or shaving of skin growth | 980 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4275 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 4275 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare California, PC | Podiatrist | Current | Accepting new patients |
| Upperline Healthcare California PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot & Ankle Concepts, Inc | Podiatrist | Current | Accepting new patients |
| Burbank Podiatry Asscociates Group a Professional Corporation | Podiatrist | Current | Accepting new patients |
Locations
241 W Olive Ave
Burbank, CA 91502
Phone (818) 848-5561
3901 Las Posas Rd
Ste 204
Camarillo, CA 93010
Phone (805) 383-2929
16465 Sierra Lakes Pkwy
Ste 240
Fontana, CA 92336
Phone (909) 355-3100
5565 Grossmont Center Dr
Ste 510
La Mesa, CA 91942
Phone (619) 303-7130
2131 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (949) 326-7355
9017 Reseda Blvd
Ste 100
Northridge, CA 91324
Phone (818) 885-8400
2100 Solar Dr
Ste 102
Oxnard, CA 93036
Phone (805) 650-8333
650 Commerce Ave
Ste D
Palmdale, CA 93551
Phone (661) 272-6898
3600 Central Ave
Ste 4
Riverside, CA 92506
Phone (951) 355-2956
302 N Milpas St
Santa Barbara, CA 93103
Phone (805) 845-1245
3180 Willow Ln
Ste 108
Thousand Oaks, CA 91361
Phone (805) 370-3338
250 S Mills Rd
Ste 101
Ventura, CA 93003
Phone (805) 650-8333
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- oliver.wang.1@4399.direct.athenahealth.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.
-
- Foot & Ankle Surgery Podiatrist
- Burbank, CA
- NPI 1659470367
-
- Foot & Ankle Surgery Podiatrist
- Oxnard, CA
- NPI 1265464820
-
- Podiatric Clinic/Center
- Orange, CA
- NPI 1225663826
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- La Mesa, CA
- NPI 1093399412
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Los Angeles County Olive View-UCLA Medical Center
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134143415
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1063516409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 N MAR VISTA AVE APT 4",
"city": "PASADENA",
"state": "CA",
"postal_code": "911065314",
"telephone_number": "818-848-5583",
"fax_number": "818-848-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 W OLIVE AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021825",
"telephone_number": "818-848-5583",
"fax_number": "818-848-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "OLIVER",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4275",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.