Andrew Wang, M.D
Individual provider Active NPI Internal Medicine Physician · San Francisco, CA
NPI 1164439675 · NPPES record last updated Jan 14, 2008
Key facts
- NPI
- 1164439675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A667920 (CA)
- Practice address
- 909 Hyde St Ste 125
San Francisco, CA 94109-4832 - Phone
- (418) 771-4366
- Fax
- (415) 771-6412
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Georgetown University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wu Lee Quock Medical Corporation
City and County of San Francisco
Saint Francis Medical Group
Practice addresses (Care Compare)
1044 Taraval St
San Francisco, CA 94116-2423
1518 Noriega St
Suite 200
San Francisco, CA 94122-4434
Phone (415) 566-3608
375 Laguna Honda Blvd
San Francisco, CA 94116-1411
Phone (415) 759-4058
909 Hyde St
Suite 125
San Francisco, CA 94109-4832
Phone (415) 771-4366
Hospital & facility affiliations
- Medvista Healthcare, Inc
- Alliance Hospice
- 1St Choice Hospice Care
- UCSF Health Saint Francis Hospital
- California Pacific Medical Center- Van Ness Campus
- Laguna Honda Hospital & Rehabilitation Center
- UCSF Medical Center
- UCSF Health St. Mary'S Hospital
- Sequoias San Francisco Convalescent Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061031000208 | CA | Practitioner - Internal Medicine | 1355348681 |
Reassigns benefits to 3 organizations Practice locations: San Francisco, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A667920 | CA | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City & County of San Francisco | Current | Accepting new patients | |
| Saint Francis Medical Group | Internal Medicine | Current |
Accepting new patients |
| City and County of San Francisco | Current |
Accepting new patients | |
| City & County of San Francisco | Current |
Accepting new patients | |
| Wu Lee Quock Medical Corporation | Current |
Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| UCSF Medical Group Business Services | Internal Medicine | Past | Accepting new patients |
Locations
375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300
1044 Taraval St
San Francisco, CA 94116
Phone (415) 566-3808
909 Hyde St
Ste 125
San Francisco, CA 94109
Phone (415) 771-4366
Interoperability endpoints
- andrew.wang@299447199531012.direct.elationemr.com
- andrew.wang@5319578091524.direct.elationemr.com
- awang98698@direct-ucsfmedicalcenter.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A667920 | CA | Yes |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | A667920 | CA |
Addresses
Primary practice location
909 Hyde St Ste 125
San Francisco, CA 94109-4832
Mailing address
909 Hyde St Ste 125
San Francisco, CA 94109-4832
Phone (418) 771-4366
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0076920 | Medicaid | CA | |
| 05D0593636 | Other | CA | CLIA |
| LAB93636F | Other | CA | MEDICAL CLIA |
Other providers in San Francisco, CA
- Alan Curtis Wands
- Linda Jo Wanek
- Janet S. Waner
- Iris Wang Tsai
- Agnes J Wang
- Andrew Wang
- Angela Wang
- Ashley Wang
- Belinda Wang
- Binbin Wang
All providers in San Francisco, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.