Individual provider Active NPI

Heru Wang

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1124857768
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031236 Issued in CA
Practice address
845 Jackson St
San Francisco, CA 94133-4899
Phone
(412) 419-9905
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031236 CA Primary

Addresses

Primary practice location

845 Jackson St
San Francisco, CA 94133-4899

Mailing address

845 Jackson St
San Francisco, CA 94133-4899
Phone (412) 419-9905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910004391 CA Practitioner - Nurse Practitioner 7416497946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinese Hospital AssociationGroup PAC ID 9436042413, 37 clinicians

Practice addresses (Care Compare)

845 Jackson St
B1
San Francisco, CA 94133-4851
Phone (415) 677-2370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031236CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinese Hospital Association Current Accepting new patients
Chinese Hospital Association CurrentSince Aug 12, 2024 Accepting new patients
Chinese Hospital Association CurrentSince Aug 12, 2024 Accepting new patients

Locations

386 Gellert Blvd
Ste Bcd
Daly City, CA 94015
Phone (650) 761-3500

386 Gellert Blvd
Daly City, CA 94015
Phone (415) 677-2320

1800 31st Ave
San Francisco, CA 94122
Phone (415) 566-0633

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

845 Jackson St
#B1
San Francisco, CA 94133
Phone (415) 677-2370

888 Paris St
Ste 202
San Francisco, CA 94112
Phone (415) 677-2388

Organizations & group practices 3

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 1

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1124857768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 JACKSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334899",
            "telephone_number": "412-419-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 JACKSON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334899",
            "telephone_number": "412-419-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HERU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.