Active NPI
Xiu-Jie Wang, M.D.
- Vascular Surgery Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- C133870
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02910089 | Medicaid | NY | |
| 1019992240001 | Medicaid | PA | |
| GU039818 | Other | PA | PA MEDICARE GROUP |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| P00424200 | Other | PA | RR MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
36320 Inland Valley Dr
Suite 101a
Wildomar, CA 92595-7512
Phone (951) 698-3000
Hospital & facility affiliations
- Southwest Healthcare Rancho Springs Hospital
- Temecula Valley Hospital
- Loma Linda University Medical Center-Murrieta
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.81 of 100
- Quality
- 40.25
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 14 |
| Leg revascularization (restoring blood flow) | 22 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C133870 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Mission Surgical Clinic, Inc. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Murrieta Valley Surgery Associates Medical Group, Inc, Apc | Vascular Surgery | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Surgery Physician
- Wildomar, CA
- NPI 1760743454
Vascular Surgery
-
- Surgery Physician
- Riverside, CA
- NPI 1457300436
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Surgery Physician
- Orange, CA
- NPI 1407806904
-
- Surgery Physician
- Sayre, PA
- NPI 1083666275
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- General Acute Care Hospital
- Sun City, CA
- NPI 1881781482
-
- Ambulatory Surgical Clinic/Center
- Riverside, CA
- NPI 1447194030
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1386945947
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1588908388
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.