Active NPI
Titfany Wang, MD
- Hematology & Oncology Physician
- Inglewood, CA
National Provider Identifier
1063972131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 918837
- Practice address
- 133 N Prairie Ave Ste C
Inglewood, CA 90301-4878 - Phone
- (800) 871-8890
- NPI assigned
- Mar 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 918837 | CA | Primary |
Addresses
Primary practice location
133 N Prairie Ave Ste C
Inglewood, CA 90301-4878
Mailing address
5399 Playa Vista Dr Apt E410
Playa Vista, CA 90094-2494
Phone (800) 871-8890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8837362939376 | Medicaid | CA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 918837 | CA | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553299200000",
"number": "1063972131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5399 PLAYA VISTA DR APT E410",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942494",
"telephone_number": "800-871-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 N PRAIRIE AVE STE C",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014878",
"telephone_number": "800-871-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "TITFANY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-23",
"last_updated": "2019-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "918837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8837362939376",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.