Benjamin N. Wan, M.D., Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A92050 Issued in CA

Legal business name

BENJAMIN N. WAN, M.D., INC

Practice address

595 Buckingham Way
Suite 500
San Francisco, CA 94132-1909

Phone

(415) 665-6100

Fax

(415) 665-6101

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Wan, M.D.NPI 1942353032

Title

President

Phone

(415) 665-6100

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Nicholas Wan, M.D.

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1942353032
  NPD (past) Authorized official
• Jennifer Chen, DNP, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Kirkland, WA
  • NPI 1801318860
  NPD (past)

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1093083701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BUCKINGHAM WAY",
            "address_2": "SUITE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321909",
            "telephone_number": "415-665-6100",
            "fax_number": "415-665-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BUCKINGHAM WAY",
            "address_2": "SUITE 500",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321909",
            "telephone_number": "415-665-6100",
            "fax_number": "415-665-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN N. WAN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-665-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A92050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Agetano Benito, RD
• Gregory Arthur Benitz, PSY.D.
• Benjamin CK Lau MD Inc
• Benjamin H. Maeck, III, M.D. Inc.
• Benjamin Kruman DDS Inc
• Hibret Hailu Benjamin, DDS
• Ira Durante Benjamin, SUD COUNSELOR
• Rebecca Benjamin
• Stacey Benjamin
• Ariella Rachel Benji-Beyzer

• Pediatrics Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.