Kim L Wang, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A96087 Issued in CA

Practice address

3301 C St
Suite #200-E
Sacramento, CA 95816-3300

Phone

(916) 447-6267

Fax

(916) 447-0621

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

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

Specialty

Pathology

Education

Northwestern University Feinberg Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diagnostic Pathology Medical Group IncGroup PAC ID 2860489218, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Merit-based Incentive Payment System (MIPS)

Final score

84.18 of 100Reported as group

Quality

80.24

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diagnostic Pathology Medical Group Inc

  • Specialist
  • Davis, CA
  • NPI 1700961927
  Medicare reassignment Care Compare group NPD
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Lodi, CA
  • NPI 1023673167
  NPD
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Vallejo, CA
  • NPI 1992199160
  NPD
• Diagnostic Pathology Medical Group Inc.

  • Specialist
  • Sacramento, CA
  • NPI 1255416400
  NPD
• Lodi Memorial Hospital Association Inc

  dba Lodi Memorial Hospital

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301
  NPD
• Diagnostic Pathology Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carson City, NV
  • NPI 1417636093
  NPD
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Sacramento, CA
  • NPI 1184709313
  NPD (past)
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Sacramento, CA
  • NPI 1235138868
  NPD (past)
• Diagnostic Pathology Medical Group Inc

  • Specialist
  • Sacramento, CA
  • NPI 1386729549
  NPD (past)
• Diagnostic Pathology Medical Group Inc

  • Specialist
  • Sacramento, CA
  • NPI 1588749162
  NPD (past)
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Auburn, CA
  • NPI 1609948983

  Specialist

  NPD (past)
• Diagnostic Pathology Medical Group Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Sacramento, CA
  • NPI 1669034518
  NPD (past)

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

• Dignity Community Care

  dba Methodist Hospital of Sacramento

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1467560599
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1174615215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "SUITE #200-E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-447-6267",
            "fax_number": "916-447-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "SUITE #200-E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-447-6267",
            "fax_number": "916-447-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "KIM",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A96087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BM269T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BM269W",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BM269U",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BM269Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A96087",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BM269V",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "A96087",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BM269S",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BM269X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BM269Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hu-Shen Wang, D.O.M
• Jaw-Yan Wang, M.D.
• Jerry S. Wang, MD
• Jessie Wang
• Johnston Y Wang, CPO
• Krystin Fong Wang, PHARMD
• Linda Wang, PHARM D.
• Michelle Wang
• Michelle Balbarin Wang, C.R.N.A.
• Patrick Wang

• Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.