Active NPI
Linda Lanlan Wang, MD
- Psychiatry Physician
- Arcadia, CA
National Provider Identifier
1083899504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A101509
- Practice address
- 330 E Live Oak Ave
Arcadia, CA 91006-5617 - Phone
- (626) 821-5858
- Fax
- (626) 821-0858
- NPI assigned
- Jan 3, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A101509 | CA | Primary |
Addresses
Primary practice location
330 E Live Oak Ave
Arcadia, CA 91006-5617
Mailing address
330 E Live Oak Ave
Arcadia, CA 91006-5617
Phone (626) 821-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA521Z | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101509 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298246400000",
"number": "1083899504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E LIVE OAK AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910065617",
"telephone_number": "626-821-5858",
"fax_number": "626-821-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E LIVE OAK AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910065617",
"telephone_number": "626-821-5858",
"fax_number": "626-821-0858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "LINDA",
"middle_name": "LANLAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2011-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A101509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DA521Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.