Individual provider Active NPI

Suzann Wang, ND

  • Naturopath
  • Los Altos, CA
National Provider Identifier
1114125580
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND40 Issued in CA
Practice address
5150 El Camino Real
Suite B14
Los Altos, CA 94022-1534
Phone
(650) 327-2053
Fax
(650) 331-7250
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND40 CA Primary
Naturopath 175F00000X 1506 OR

Addresses

Primary practice location

5150 El Camino Real
Suite B14
Los Altos, CA 94022-1534

Mailing address

5150 El Camino Real
Suite B14
Los Altos, CA 94022-1534
Phone (650) 327-2053

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

State licenses

LicenseStateTypeSpecialty
ND40CAMDNaturopath
1506ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1114125580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 EL CAMINO REAL",
            "address_2": "SUITE B14",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221534",
            "telephone_number": "650-327-2053",
            "fax_number": "650-331-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 EL CAMINO REAL",
            "address_2": "SUITE B14",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221534",
            "telephone_number": "650-327-2053",
            "fax_number": "650-331-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SUZANN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND40",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.