Kaidong Wang M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

KAIDONG WANG M.D.

Practice address

1601 Ygnacio Valley Rd
Rehabilitation Services
Walnut Creek, CA 94598-3122

Phone

(520) 296-1206

Fax

(520) 296-7410

NPI assigned

Jun 30, 2011

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaidong Wang, MD, PH.DNPI 1164576708

Title

Physician/Owner

Phone

(520) 296-1206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaidong Wang, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Jose, CA
  • NPI 1164576708
  Medicare reassignment NPD Authorized official
• Joshua King

  • Physical Medicine & Rehabilitation Physician
  • Loma Linda, CA
  • NPI 1629638606
  Medicare reassignment NPD

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1255628004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 YGNACIO VALLEY RD",
            "address_2": "REHABILITATION SERVICES",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983122",
            "telephone_number": "520-296-1206",
            "fax_number": "520-296-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 YGNACIO VALLEY RD",
            "address_2": "REHABILITATION SERVICES",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983122",
            "telephone_number": "520-296-1206",
            "fax_number": "520-296-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIDONG WANG M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "KAIDONG",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "520-296-1206",
        "authorized_official_credential": "MD, PH.D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Bolger Kaaret, PHYSICAL THERAPIST
• Richard Kabasinskas
• Mana Kahali, LCSW
• Matthew Kaharudin
• Deborah Kahng, PHARMD
• Kain II DDS Inc (Dental Care of Walnut Creek)
• Kaiser
• Kaiser
• Kaiser Foundation Health Plan (Kaiser Foundation Hospitals)
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy #514)

• Physical Medicine & Rehabilitation Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.