Individual provider Active NPI

Daniel Ruiqi Wang, MD

  • Cardiovascular Disease Physician
  • Pasadena, CA
National Provider Identifier
1174150072
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A181190 Issued in CA
Practice address
625 S Fair Oaks Ave # 215
Pasadena, CA 91105-2613
Phone
(626) 793-4139
Fax
(626) 793-5324
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Cardiovascular Disease Physician 207RC0000X A181190 CA Primary

Addresses

Primary practice location

625 S Fair Oaks Ave # 215
Pasadena, CA 91105-2613

Mailing address

235 E Badillo St
Covina, CA 91723-2116
Phone (626) 793-2885

Other practice location 1

289 W Huntington Dr Ste 401
Arcadia, CA 91007-3493
Phone (626) 254-0074

Other practice location 2

220 S 1st St
Alhambra, CA 91801-3705
Phone (626) 281-8663

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
I20230817002979 CA Order and Referring Only - Cardiovascular Disease (Cardiology)Practitioner - Cardiovascular Disease (Cardiology) 8325400674

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181190CAMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1174150072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232116",
            "telephone_number": "626-793-2885",
            "fax_number": "626-793-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE # 215",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052613",
            "telephone_number": "626-793-4139",
            "fax_number": "626-793-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 W Huntington Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910073493",
            "country_code": "US",
            "telephone_number": "626-254-0074",
            "fax_number": "626-254-0079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918013705",
            "country_code": "US",
            "telephone_number": "626-281-8663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "DANIEL",
        "middle_name": "RUIQI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A181190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.