Active NPI
Vivian Wang, PTA
- Physical Therapy Assistant
- Santa Ana, CA
National Provider Identifier
1205440096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 18542 Vanderlip Ave Ste B
Santa Ana, CA 92705-8201 - Phone
- (714) 573-8888
- NPI assigned
- Aug 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
18542 Vanderlip Ave Ste B
Santa Ana, CA 92705-8201
Mailing address
18542 Vanderlip Ave
Santa Ana, CA 92705-8201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blind Children'S Learning Center | Current | Accepting new patients | |
| Beyond Blindness | Past | Accepting new patients |
Locations
18542 Vanderlip Ave
Ste B
Santa Ana, CA 92705
Phone (714) 573-8888
18542 Vanderlip Ave
Santa Ana, CA 92705
Phone (714) 573-8888
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Assistant
- Santa Ana, CA
- NPI 1205449576
-
- Early Intervention Provider Agency
- Santa Ana, CA
- NPI 1528394962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1205440096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18542 VANDERLIP AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18542 VANDERLIP AVE STE B",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058201",
"telephone_number": "714-573-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "VIVIAN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.