NPIMap

Individual provider Active NPI

George C Wang, M.D.

  • Neurology Physician
  • Long Beach, CA
National Provider Identifier
1124344767
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A121613 Issued in CA
Practice address
3747 Worsham Ave Ste 100
Long Beach, CA 90808-1734
Phone
(562) 430-4513
Fax
(562) 430-7718
NPI assigned
Apr 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A121613 CA Primary

Addresses

Primary practice location

3747 Worsham Ave Ste 100
Long Beach, CA 90808-1734

Mailing address

3747 Worsham Ave Ste 100
Long Beach, CA 90808-1734
Phone (562) 430-4513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113001419 CA Practitioner - Neurology 6507180924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, Irvine, California College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southland Neurologic Institute a Medical CorporationGroup PAC ID 0446555023, 8 clinicians

Practice addresses (Care Compare)

3747 Worsham Ave
Suite 100
Long Beach, CA 90808-1734
Phone (562) 430-4513

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
91.63 of 100Reported as group
Quality
71.64
Promoting interoperability
98
Improvement activities
40
Cost
68.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
121613CAMDClinical Social Worker
A121613CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Southland Neurologic Institute Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: george.wang.1@16722.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16722/brand/3/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1124344767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081734",
            "telephone_number": "562-430-4513",
            "fax_number": "562-430-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081734",
            "telephone_number": "562-430-4513",
            "fax_number": "562-430-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "GEORGE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A121613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.