Organization Active NPI

Jia Yu Wang

  • Family Medicine Physician
  • Menlo Park, CA
National Provider Identifier
1114714219
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JIA YU WANG
Practice address
1225 Crane St Ste 109
Menlo Park, CA 94025-4253
Phone
(650) 223-5821
Fax
(650) 487-8883
NPI assigned
Apr 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Dr. Jia Yu Wang, MDNPI 1851653281
Title
Primary Care Provider
Phone
(773) 969-0151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1225 Crane St Ste 109
Menlo Park, CA 94025-4253

Mailing address

2625 Middlefield Rd # 179
Palo Alto, CA 94306-2516
Phone (650) 223-5821

Other names 1

  • Jia Y. Wang, MD Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1114714219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 MIDDLEFIELD RD # 179",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062516",
            "telephone_number": "650-223-5821",
            "fax_number": "650-487-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST STE 109",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254253",
            "telephone_number": "650-223-5821",
            "fax_number": "650-487-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIA YU WANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JIA",
        "authorized_official_middle_name": "YU",
        "authorized_official_title_or_position": "PRIMARY CARE PROVIDER",
        "authorized_official_telephone_number": "773-969-0151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jia Y. Wang, MD Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jia Y. Wang, MD Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.