Zhan Tao Wang, M.D.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

137635 Issued in CA

Practice address

505 S Main St Ste 100
Orange, CA 92868-4568

Phone

(714) 509-3914

Fax

(714) 509-3915

NPI assigned

Jul 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Peter Wang Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1093190290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684568",
            "telephone_number": "714-509-3914",
            "fax_number": "714-509-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684568",
            "telephone_number": "714-509-3914",
            "fax_number": "714-509-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ZHAN TAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CA",
            "license": "137635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "WANG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wen-Chin Wang, MSPT
• Winston Wang, L.AC
• Yanfeng Wang, M.D.
• Yingxue Wang
• Yujie Wang, CMT
• Kerry Ellen Wangen, MD, PHD
• Gerry Mary Waniewski, PSY.D.
• Emily Marie Ward, NURSE PRACTITIONER
• Garrett Graham Ward, M.D.
• Hannah Ward, DO

• Pediatric Urology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.