Organization Active NPI

Zhijun Wang MD Inc

  • Pediatrics Physician
  • Irvine, CA
National Provider Identifier
1124373345
Registry record updated Jul 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ZHIJUN WANG MD INC
Practice address
22 Odyssey
Suite 105
Irvine, CA 92618-3186
Phone
(949) 733-0988
Fax
(949) 733-0972
NPI assigned
Jul 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2012

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

Authorized official

Name
Dr. Zhijun WangNPI 1336171404
Title
Dr.
Phone
(949) 733-0988

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
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

22 Odyssey
Suite 105
Irvine, CA 92618-3186

Mailing address

22 Odyssey
Suite 105
Irvine, CA 92618-3186

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1032219Zhijun Wang MD, Inc22 Odyssey Ste 105, Irvine, CA 92618Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

22 Odyssey
Ste 105
Irvine, CA 92618
Phone (714) 887-9024

Practitioners & affiliated clinicians

Practitioners 3

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": "1342224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342224000000",
    "number": "1124373345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "SUITE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "SUITE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183186",
            "telephone_number": "949-733-0988",
            "fax_number": "949-733-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHIJUN WANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-14",
        "last_updated": "2012-07-14",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ZHIJUN",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "949-733-0988",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 Jul 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.