Individual provider Active NPI

Jinmei Woan, MD

  • Neurology Physician
  • Tracy, CA
National Provider Identifier
1093756835
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G69222 Issued in CA
Practice address
530 W Eaton Ave
Suite M
Tracy, CA 95376-3400
Phone
(209) 833-0268
Fax
(209) 833-7880
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G69222 CA Primary

Addresses

Primary practice location

530 W Eaton Ave
Suite M
Tracy, CA 95376-3400

Mailing address

PO Box 1955
Tracy, CA 95378-1955
Phone (209) 833-0268

Other identifiers 1

IdentifierTypeStateIssuer
00G92221MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091020000112 CA Practitioner - Neurology 0446397780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

530 W Eaton Ave
Suite M
Tracy, CA 95376-3455
Phone (209) 833-0268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G69222CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jinmei Woan MD a Professional Corporation Neurology CurrentSince May 13, 2009 Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients

Locations

530 W Eaton Ave
Ste M
Tracy, CA 95376
Phone (209) 833-0268

451 W Eaton Ave
Tracy, CA 95376
Phone (209) 833-0268

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jwoan15560@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1093756835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1955",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953781955",
            "telephone_number": "209-833-0268",
            "fax_number": "209-833-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W EATON AVE",
            "address_2": "SUITE M",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763400",
            "telephone_number": "209-833-0268",
            "fax_number": "209-833-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOAN",
        "first_name": "JINMEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G69222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G92221",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.