Jin Wang, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A49349 Issued in CA

Practice address

1317 W Foothill Blvd
Ste 148
Upland, CA 91786-3676

Phone

(909) 981-5882

Fax

(909) 946-0833

NPI assigned

Jul 7, 2006

Last updated

Aug 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Chino Dialysis Dialysis facility, Chino, CA, CCN 052739
• Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: casacolina@direct.casacolina.org

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

• Jin Wang MD Inc

  • Nephrology Physician
  • Upland, CA
  • NPI 1417730045
  Medicare reassignment Authorized official
• Casa Colina Hospital and Centers for Healthcare

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1952777245
  NPD
• Dialysis Center of Ontario LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ontario, CA
  • NPI 1356549455
  NPD
• Abid Hameed Khan MD Professional Corporation

  • Nephrology Physician
  • Ontario, CA
  • NPI 1518153733
  NPD (past)
• Erlinda Uy-Concepcion M D Inc

  • Nephrology Physician
  • Upland, CA
  • NPI 1861668188
  NPD (past)

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

• Dva Healthcare Renal Care Inc

  dba Chino Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chino, CA
  • NPI 1679547087

  Dialysis facility

  Care Compare affiliation Name & address match
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1407813660
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1154353126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851869",
            "telephone_number": "909-981-5882",
            "fax_number": "909-373-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W FOOTHILL BLVD",
            "address_2": "STE 148",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863676",
            "telephone_number": "909-981-5882",
            "fax_number": "909-946-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A49349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A493490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Wallace
• Walmart Inc. (WalMart Pharmacy 10-5691)
• Walmart Inc. (Walmart Pharmacy 10-1992)
• Christine Walters
• Eileen Wang
• Juanfang Wang
• Nan Wang, M.D.
• Nancy Wang, O.D.
• Jeff Warhol
• Uriah Warner

• Nephrology Physician in Upland, CA
• Providers in Upland, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.