Organization Active NPI

Sonny S. Wang, M.D. Colon and Rectal Surgery, Inc.

  • Colon & Rectal Surgery Physician
  • Irvine, CA
National Provider Identifier
1124322052
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
A81551 Issued in CA
Legal business name
SONNY S. WANG, M.D. COLON AND RECTAL SURGERY, INC.
Practice address
18 Endeavor
Suite 306
Irvine, CA 92618-3164
Phone
(949) 387-7240
Fax
(949) 387-7219
NPI assigned
Jan 7, 2011
Last updated
Apr 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Dr. Sonny Sheng-Hung Wang, M.D.NPI 1811187560
Title
President
Phone
(949) 387-7240

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
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X A81551 CA Primary

Addresses

Primary practice location

18 Endeavor
Suite 306
Irvine, CA 92618-3164

Mailing address

18 Endeavor
Suite 306
Irvine, CA 92618-3164
Phone (949) 387-7240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110406000635 CA Part B Supplier - Clinic/Group Practice 0244414894 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

18 Endeavor
Ste 306
Irvine, CA 92618
Phone (949) 387-7240

23961 Calle de la Magdalena
Ste 231
Laguna Hills, CA 92653
Phone (949) 609-0500

12452 Washington Blvd
Whittier, CA 90602
Phone (562) 945-3989

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1124322052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR",
            "address_2": "SUITE 306",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183164",
            "telephone_number": "949-387-7240",
            "fax_number": "949-387-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR",
            "address_2": "SUITE 306",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183164",
            "telephone_number": "949-387-7240",
            "fax_number": "949-387-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNY S. WANG, M.D. COLON AND RECTAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SONNY",
        "authorized_official_middle_name": "SHENG-HUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-387-7240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A81551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.