Individual provider Active NPI

Zheng Wang, MD

  • Anesthesiology Physician
  • Riverside, CA
National Provider Identifier
1205901642
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A65385 Issued in CA
Practice address
18044 Clarke CT
Riverside, CA 92508-8742
Phone
(951) 776-4256
Fax
(951) 776-4256
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A65385 CA Primary

Addresses

Primary practice location

18044 Clarke CT
Riverside, CA 92508-8742

Mailing address

18044 Clarke CT
Riverside, CA 92508-8742
Phone (951) 776-4256

Other identifiers 1

IdentifierTypeStateIssuer
00A653850MedicaidCA

Other names 1

  • Dr. Jennifer Wang Other name

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
I20040921000776 CA Practitioner - Anesthesiology 4981672524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wang Jennifer Zheng M D IncGroup PAC ID 5991853962, 2 clinicians

Practice addresses (Care Compare)

3865 Jackson St
Riverside, CA 92503-3919
Phone (951) 688-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65385CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
Anesthesia Specialists of Orange County, Inc. Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Hemet Ekg Interpretation Medical Group, Inc. Past Accepting new patients
Gary Chinghuei Kao MD Inc Anesthesiology Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

Interoperability endpoints

  • Direct secure messaging: zwang101090@direct.llu.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1205901642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18044 CLARKE CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925088742",
            "telephone_number": "951-776-4256",
            "fax_number": "951-776-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18044 CLARKE CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925088742",
            "telephone_number": "951-776-4256",
            "fax_number": "951-776-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ZHENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A65385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A653850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WANG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.