Individual provider Active NPI

John C Wang, D.O.

  • Urology Physician
  • Yuba City, CA
National Provider Identifier
1154384352
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
L3866 Issued in TX
Practice address
370 Del Norte Ave
Suite 201
Yuba City, CA 95991-4142
Phone
(530) 674-8031
Fax
(530) 751-4158
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X L3866 TX Primary

Addresses

Primary practice location

370 Del Norte Ave
Suite 201
Yuba City, CA 95991-4142

Mailing address

PO Box 3067
Yuba City, CA 95992-3067
Phone (530) 751-4784

Other identifiers 5

IdentifierTypeStateIssuer
340020371OtherTXMEDICARE RAILROAD
8G4510OtherTXBLUECROSS/BLUESHIELD
10006843OtherTXAMERIGROUP
1527616-01MedicaidTX
7430373OtherTXAETNA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516002364 CA Practitioner - Urology 7315046646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1090 Rio LN
Sacramento, CA 95822-1706
Phone (916) 446-2506

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue201
Removal of skin lesions15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3866TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Biologics, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Jan 10, 2022 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Jan 10, 2022 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200

1090 Rio Ln
Sacramento, CA 95822
Phone (916) 446-2506

2108 N St
Sacramento, CA 95816
Phone (951) 719-7050

1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1154384352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959923067",
            "telephone_number": "530-751-4784",
            "fax_number": "530-751-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 DEL NORTE AVE",
            "address_2": "SUITE 201",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914142",
            "telephone_number": "530-674-8031",
            "fax_number": "530-751-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "L3866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "340020371",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "8G4510",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10006843",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527616-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7430373",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.