Individual provider Active NPI

Roger Rongqing Wang, D.O.

  • Allergy & Immunology (Internal Medicine) Physician
  • San Francisco, CA
National Provider Identifier
1164522165
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
20A10816 Issued in CA
Practice address
950 Stockton St
Suite 399
San Francisco, CA 94108-1633
Phone
(415) 677-0901
Fax
(415) 677-0885
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10816 CA
Rheumatology Physician 207RR0500X 20A10816 CA
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 20A10816 CA Primary

Addresses

Primary practice location

950 Stockton St
Suite 399
San Francisco, CA 94108-1633

Mailing address

101 Merced Ave
San Francisco, CA 94127-1027
Phone (415) 242-4611

Other identifiers 1

IdentifierTypeStateIssuer
00355266OtherCAMEDICAID

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
I20100305000712 CA Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Rheumatology 6800982117 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine, Rheumatology
Education
University of New England, College of Osteo Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

950 Stockton St
Suite 399
San Francisco, CA 94108-1618
Phone (415) 242-4611

Hospital & facility affiliations

  • Chinese Hospital Hospital, San Francisco, CA, CCN 050407

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
89.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10816CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: roger.wang@11050318561284.direct.elationemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1164522165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MERCED AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271027",
            "telephone_number": "415-242-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 STOCKTON ST",
            "address_2": "SUITE 399",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081633",
            "telephone_number": "415-677-0901",
            "fax_number": "415-677-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ROGER",
        "middle_name": "RONGQING",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10816",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "20A10816",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "20A10816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "00355266",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.