Active NPI
Ging-Long Wang, M.D.
- Psychiatry Physician
- Burlingame, CA
National Provider Identifier
1104166321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A24551
- Practice address
- 1720 El Camino Real Ste 140
Burlingame, CA 94010-3231 - Phone
- (925) 282-1778
- NPI assigned
- Feb 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A24551 | CA | |
| Psychiatry Physician | 2084P0800X | A24551 | CA | Primary |
Addresses
Primary practice location
1720 El Camino Real Ste 140
Burlingame, CA 94010-3231
Mailing address
1720 El Camino Real Ste 140
Burlingame, CA 94010-3231
Other practice location 1
1902 W 235th Pl
Torrance, CA 90501-6020
Phone (310) 326-8528
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A24551 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1104166321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 EL CAMINO REAL STE 140",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 EL CAMINO REAL STE 140",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103231",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "1902 W 235th Pl",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905016020",
"country_code": "US",
"telephone_number": "310-326-8528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "GING-LONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-25",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A24551",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A24551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.