Active NPI
Daniel Y Wang MD Corp
- Clinic/Center
- Hollister, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- A96792
- Legal business name
- DANIEL Y WANG MD CORP
- Practice address
- 920 Sunnyslope Rd
Hollister, CA 95023-5784 - Phone
- (831) 636-1332
- Fax
- (831) 636-1342
- NPI assigned
- Nov 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Yu Wang, MD
- Title
- President
- Phone
- (831) 636-1332
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A96792 | CA | Primary |
Addresses
Primary practice location
920 Sunnyslope Rd
Hollister, CA 95023-5784
Mailing address
920 Sunnyslope Rd
Hollister, CA 95023-5784
Phone (831) 636-1332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1073816 | Daniel Y Wang, MD Corp | Certificate of waiver | Jun 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
900 Sunset Dr
#5462F
Hollister, CA 95023
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hollister, CA
- NPI 1346336195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290988800000",
"number": "1194905323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 SUNNYSLOPE RD",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235784",
"telephone_number": "831-636-1332",
"fax_number": "831-636-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 SUNNYSLOPE RD",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235784",
"telephone_number": "831-636-1332",
"fax_number": "831-636-1342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL Y WANG MD CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-05",
"last_updated": "2010-11-29",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "YU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "831-636-1332",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "A96792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollister, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.