Active NPI
Yifan Wang
- Student in an Organized Health Care Education/Training Program
- San Jose, CA
National Provider Identifier
1104228592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2400 Moorpark Ave Ste 301
San Jose, CA 95128 - Phone
- (408) 975-2730
- NPI assigned
- Sep 17, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2400 Moorpark Ave Ste 301
San Jose, CA 95128
Mailing address
2400 Moorpark Ave Ste 201
San Jose, CA 95128-2624
Phone (408) 975-2730
Other practice location 1
310 8th St
Suite 201
Oakland, CA 94607-6526
Phone (510) 451-6729 ext. 6045
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1104228592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MOORPARK AVE STE 201",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282624",
"telephone_number": "408-975-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MOORPARK AVE STE 301",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-975-2730"
}
],
"practiceLocations": [
{
"address_1": "310 8th St",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946076526",
"country_code": "US",
"telephone_number": "510-451-6729 x6045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "YIFAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-17",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.