Individual provider Active NPI

Wei Wang, MD

  • Internal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1184788523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A053177 Issued in CA
Practice address
223 N Garfield Ave
Suite 208
Monterey Park, CA 91754-1700
Phone
(626) 288-7988
Fax
(626) 288-9528
NPI assigned
Dec 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A053177 CA Primary

Addresses

Primary practice location

223 N Garfield Ave
Suite 208
Monterey Park, CA 91754-1700

Mailing address

223 N Garfield Ave
Suite 208
Monterey Park, CA 91754-1700
Phone (626) 288-7988

Other identifiers 1

IdentifierTypeStateIssuer
00A531770MedicaidCA

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
I20101230000603 CA Practitioner - Internal Medicine 8527256874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wei Wang Medical CorporationGroup PAC ID 5991735250, 2 clinicians

Practice addresses (Care Compare)

223 N Garfield Ave
Monterey Park, CA 91754-1700
Phone (626) 288-7988

233 N Garfield Ave
Suite 208
Monterey Park, CA 91754-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A053177CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wynk's Clinic CurrentSince Jan 25, 2023 Accepting new patients
Wei Wang Medical Corporation Internal Medicine CurrentSince Sep 1, 2000 Accepting new patients
Wynk's Corporation CurrentSince Jan 25, 2023 Accepting new patients

Locations

3948 Peck Rd
Ste 10
El Monte, CA 91732
Phone (626) 455-0166

223 N Garfield Ave
Ste 208
Monterey Park, CA 91754
Phone (626) 288-7988

1788 S San Gabriel Blvd
Ste 101
San Gabriel, CA 91776
Phone (626) 656-6253

1806 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 377-0515

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monterey Park Convalescent HospitalMonterey Park, CA, CCN 055162 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 1, 2001
Oct 1, 2001

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184788523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N GARFIELD AVE",
            "address_2": "SUITE 208",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541700",
            "telephone_number": "626-288-7988",
            "fax_number": "626-288-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N GARFIELD AVE",
            "address_2": "SUITE 208",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541700",
            "telephone_number": "626-288-7988",
            "fax_number": "626-288-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "WEI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A053177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A531770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.