Active NPI
Yawen Wang, MD, PHD
- Neurology Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A150344
- Practice address
- 1705 28TH St
Bakersfield, CA 93301-1902 - Phone
- (661) 322-3008
- Fax
- (661) 322-5507
- NPI assigned
- Jul 19, 2011
- Last updated
- Oct 9, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 56767 | MN | |
| Neurology Physician | 2084N0400X | 2016-00819 | NC | |
| Neurology Physician | 2084N0400X | A150344 | CA | Primary |
Addresses
Primary practice location
1705 28TH St
Bakersfield, CA 93301-1902
Mailing address
1705 28TH St
Bakersfield, CA 93301-1902
Phone (661) 322-3008
Other practice location 1
9449 Imperial Hwy Bldg C2nd
Downey, CA 90242-2814
Phone (661) 322-3008
Other practice location 2
2280 Hemby Ln
ECU Physicians Neurology
Greenville, NC 27834-3773
Phone (252) 744-9400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275821720 | Medicaid | NC | |
| 19JC6 | Other | NC | BCBS OF NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1211 W la Palma Ave
Suite 710
Anaheim, CA 92801-2814
Phone (657) 888-9199
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A150344 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KC Tan, M.D. Medical Corporation | Current | Accepting new patients | |
| Kern County Neurological Medical Group, Inc | Neurology | Current | Accepting new patients |
| Yawen Wang, M.D., Inc. | Neurology | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients |
Locations
1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450
1211 W La Palma Ave
Ste 710
Anaheim, CA 92801
Phone (657) 888-9199
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
1705 28th St
Bakersfield, CA 93301
Phone (661) 322-3008
1711 28th St
Ste B
Bakersfield, CA 93301
Phone (661) 322-3008
2701 F St
Bakersfield, CA 93301
Phone (661) 322-3008
15370 Fairfield Ranch Rd
#B2
Chino Hills, CA 91709
Phone (800) 723-6186
18605 Gale Ave
Ste 228B
City of Industry, CA 91748
Phone (626) 820-9528
1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503
525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222
3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- child&adultneurology.yawenwang@153551.advancedmd-direct.com
Organizations & group practices 7
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.
-
- Neuroradiology Physician
- Monterey Park, CA
- NPI 1215394036
-
- Neurology Physician
- Bakersfield, CA
- NPI 1306824420
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
dba Bakersfield Memorial Hospital Pharmacy
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1275821720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 28TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011902",
"telephone_number": "661-322-3008",
"fax_number": "661-322-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 28TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011902",
"telephone_number": "661-322-3008",
"fax_number": "661-322-5507"
}
],
"practiceLocations": [
{
"address_1": "9449 Imperial Hwy Bldg C2nd",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902422814",
"country_code": "US",
"telephone_number": "661-322-3008",
"fax_number": "661-322-5507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2280 Hemby Ln",
"address_2": "ECU Physicians Neurology",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278343773",
"country_code": "US",
"telephone_number": "252-744-9400",
"fax_number": "252-744-9401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "YAWEN",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "56767",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2016-00819",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A150344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275821720",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19JC6",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.