Individual provider Active NPI

Xiu-Jie Wang, M.D.

  • Vascular Surgery Physician
  • Riverside, CA
National Provider Identifier
1215135496
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
C133870 Issued in CA
Practice address
3660 Park Sierra Dr
Suite 105
Riverside, CA 92505-3081
Phone
(951) 278-8870
Fax
(951) 278-8913
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD432218 PA
Vascular Surgery Physician 2086S0129X C133870 CA Primary

Addresses

Primary practice location

3660 Park Sierra Dr
Suite 105
Riverside, CA 92505-3081

Mailing address

PO Box 2828
Corona, CA 92878-2828
Phone (951) 278-8870

Other identifiers 5

IdentifierTypeStateIssuer
02910089MedicaidNY
1019992240001MedicaidPA
GU039818OtherPAPA MEDICARE GROUP
CC9269OtherPARR MEDICARE GROUP
P00424200OtherPARR MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071008000282 PA Practitioner - Vascular Surgery 8426143314 Reassigns benefits to 1 organization
I20160718000765 CA Practitioner - Vascular Surgery 8426143314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murrieta Valley Surgery Associates Medical Group Inc ApcGroup PAC ID 6002136926, 16 clinicians

Practice addresses (Care Compare)

36320 Inland Valley Dr
Suite 101a
Wildomar, CA 92595-7512
Phone (951) 698-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.81 of 100Reported as individual
Quality
40.25
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal14
Leg revascularization (restoring blood flow)22
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C133870CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 1, 2007 Accepting new patients
Mission Surgical Clinic, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 1, 2007 Accepting new patients
Murrieta Valley Surgery Associates Medical Group, Inc, Apc Vascular Surgery CurrentSince Sep 2, 2019 Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Robert Packer Hospital Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Mission Surgical Center Inc Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

830 Magnolia Ave
Fl 1
Corona, CA 92879
Phone (657) 216-6090

830 Magnolia Ave
Ste 1
Corona, CA 92879

2250 S Main St
Ste 206
Corona, CA 92882
Phone (951) 278-8870

3853 W Stetson Ave
Ste 105
Hemet, CA 92545

3660 Park Sierra Dr
Ste 105
Riverside, CA 92505
Phone (951) 278-8870

31537 Rancho Pueblo Rd
Ste 202
Temecula, CA 92592
Phone (951) 698-3000

36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595
Phone (951) 600-3811

36320 Inland Valley Dr
Ste 101A
Wildomar, CA 92595
Phone 9516983000 ext. 304

36320 Inland Valley Dr
Wildomar, CA 92595
Phone (951) 200-2220

36320 Inland Valley Dr
#101A
Wildomar, CA 92595
Phone (951) 698-3000

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

317 W Lockhart St
Sayre, PA 18840
Phone (570) 887-3920

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: xwang182185@direct.llu.edu

Organizations & group practices 16

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.

View all 16

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1215135496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928782828",
            "telephone_number": "951-278-8870",
            "fax_number": "951-278-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR",
            "address_2": "SUITE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053081",
            "telephone_number": "951-278-8870",
            "fax_number": "951-278-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "XIU-JIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD432218",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "C133870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02910089",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019992240001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICARE GROUP",
            "identifier": "GU039818",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CC9269",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00424200",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.