Active NPI
John C Wang, D.O.
- Urology Physician
- Yuba City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- L3866
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340020371 | Other | TX | MEDICARE RAILROAD |
| 8G4510 | Other | TX | BLUECROSS/BLUESHIELD |
| 10006843 | Other | TX | AMERIGROUP |
| 1527616-01 | Medicaid | TX | |
| 7430373 | Other | TX | AETNA |
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
Enrollment records 1
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 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 201 |
| Removal of skin lesions | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3866 | TX | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilled Biologics, Inc. | Current | Accepting new patients | |
| Skilled Facility Health Care Solutions Inc | Current | Accepting new patients | |
| Skilled Facility Health Care Solutions Inc | Current | 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.
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- NPI 1104018423
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- Surgery Physician
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- NPI 1376386763
-
- General Practice Physician
- Glendale, CA
- NPI 1902444623
-
- Surgery Physician
- Los Angeles, CA
- NPI 1871756403
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.