Organization Active NPI

Jane Wang

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Stockton, CA
National Provider Identifier
1164981817
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
JANE WANG
Practice address
123 S Commerce St Ste E
Stockton, CA 95202-2837
Phone
(209) 901-9123
Fax
(855) 827-6007
NPI assigned
Mar 12, 2019
Organization subpart
Yes
Parent organization
JANE WANGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Jane WangNPI 1518285717
Title
MD/Owner
Phone
(916) 671-9884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

123 S Commerce St Ste E
Stockton, CA 95202-2837

Mailing address

3663 Park Rd
Sacramento, CA 95841-4423
Phone (916) 671-9884

National Provider Directory

National Provider Directory
Part of
Jane Wang MD

Locations

123 S Commerce St
Ste E
Stockton, CA 95202
Phone (209) 901-9123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1164981817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 PARK RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414423",
            "telephone_number": "916-671-9884",
            "fax_number": "855-827-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S COMMERCE ST STE E",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022837",
            "telephone_number": "209-901-9123",
            "fax_number": "855-827-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE WANG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JANE WANG",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "916-671-9884"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.