Active NPI
Pean-Yuan Wang, M.D.
- General Practice Physician
- Artesia, CA
National Provider Identifier
1154417061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A37759
- Practice address
- 12225 South St
Suite 105
Artesia, CA 90701-7053 - Phone
- (562) 402-2993
- Fax
- (562) 860-1819
- NPI assigned
- Oct 5, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A37759 | CA | |
| General Practice Physician | 208D00000X | A37759 | CA | Primary |
Addresses
Primary practice location
12225 South St
Suite 105
Artesia, CA 90701-7053
Mailing address
12225 South St
Suite 105
Artesia, CA 90701-7053
Phone (562) 402-2993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A377591 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1154417061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12225 SOUTH ST",
"address_2": "SUITE 105",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907017053",
"telephone_number": "562-402-2993",
"fax_number": "562-860-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12225 SOUTH ST",
"address_2": "SUITE 105",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907017053",
"telephone_number": "562-402-2993",
"fax_number": "562-860-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "PEAN-YUAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A37759",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A37759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A377591",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Artesia, CA
- Javier Villanueva, PTA
- Chau Hue Vu, DDS
- Walgreen Co (Walgreens #05773)
- Walk in Medical Care (Kailash R Dhamija MD Inc)
- Hong Wang, LAC
- Ting Lin Wang, RN, ACNP, GNP
- Wangpichit and Kim Professional Dental Corporation (Kids Smile Pediatric Dentistry)
- Kallaya Wangpichit, D.D.S.
- Rene Weismantel
- Welcome Pharmacy Inc (Welcome Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.