Individual provider Active NPI

William Wei-Ming Ting, M.D.

  • Dermatology Physician
  • San Ramon, CA
National Provider Identifier
1235105446
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A82266 Issued in CA
Practice address
2262 Camino Ramon
San Ramon, CA 94583-1353
Phone
(925) 328-0255
Fax
(925) 328-0257
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A82266 CA Primary

Addresses

Primary practice location

2262 Camino Ramon
San Ramon, CA 94583-1353

Mailing address

2262 Camino Ramon
San Ramon, CA 94583-1353
Phone (925) 328-0255

Other identifiers 2

IdentifierTypeStateIssuer
00A822660OtherCABLUE SHIELD PROV #
00A82266MedicaidCA

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
I20040219000990 CA Practitioner - Dermatology 5991690604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Dermatology Care IncGroup PAC ID 2264564574, 8 clinicians

Practice addresses (Care Compare)

2262 Camino Ramon
San Ramon, CA 94583-1353
Phone (925) 328-0255

48 Fenton St
Livermore, CA 94550-4144
Phone (925) 359-6255

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision106
Removal of skin lesions2065
Removal of skin cancer196
Removal or shaving of skin growth45
Skin biopsy673

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Care, Inc. Dermatology CurrentSince May 24, 2010 Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients
Eitan Homa and Jennifer Krasnoff MD Inc Dermatology Past Accepting new patients
Camino Medical Group Dermatology Past Accepting new patients
Camino Medical Group Past Accepting new patients
El Camino Hospital Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

500 Alfred Nobel Dr
Ste 185
Hercules, CA 94547
Phone (510) 669-5700

48 Fenton St
Livermore, CA 94550
Phone (415) 933-6725

2262 Camino Ramon
Ste 200
San Ramon, CA 94583
Phone (925) 328-0255

2262 Camino Ramon
San Ramon, CA 94583
Phone (925) 328-0255

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1235105446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 CAMINO RAMON",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831353",
            "telephone_number": "925-328-0255",
            "fax_number": "925-328-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 CAMINO RAMON",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831353",
            "telephone_number": "925-328-0255",
            "fax_number": "925-328-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TING",
        "first_name": "WILLIAM",
        "middle_name": "WEI-MING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A82266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV #",
            "identifier": "00A822660",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A82266",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.