NPIMap

Individual provider Active NPI

Angela L.F. Wang, DO

  • Pediatrics Physician
  • Riverside, CA
National Provider Identifier
1063788255
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A15739 Issued in CA
Practice address
9939 Magnolia Ave
Riverside, CA 92503-3528
Phone
(951) 687-8802
Fax
(951) 687-2250
NPI assigned
Apr 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS13454 FL
Pediatrics Physician 208000000X 20A15739 CA Primary

Addresses

Primary practice location

9939 Magnolia Ave
Riverside, CA 92503-3528

Mailing address

PO Box 70180
Riverside, CA 92513-0180
Phone (951) 354-3216

Other identifiers 1

IdentifierTypeStateIssuer
015263100MedicaidFL

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A15739CAMDPediatrics Physician
OS13454FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Javier Rios, a Medical Corporation Pediatrics Past Accepting new patients
Montclair Medical Professional Corporation Pediatrics Past Accepting new patients
Dr. Javier Rios, a Medical Corporation Pediatrics Past Accepting new patients
Dr. Javier Rios a Medical Corporation Pediatrics Past Accepting new patients
Dr. Javier Rios a Medical Corporation Pediatrics Past Accepting new patients
Alessandro Medical Professional Corporation Pediatrics Past Accepting new patients
Dr. Javier Rios, a Medical Corporation Pediatrics Past Accepting new patients
Alessandro Medical Professional Corporation Pediatrics Past Accepting new patients
Javier R. Rios MD a Professional Corporation Pediatrics Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1063788255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70180",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925130180",
            "telephone_number": "951-354-3216",
            "fax_number": "951-848-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033528",
            "telephone_number": "951-687-8802",
            "fax_number": "951-687-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ANGELA",
        "middle_name": "L.F.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS13454",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A15739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015263100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.