Individual provider Active NPI

Yawen Wang, MD, PHD

  • Neurology Physician
  • Bakersfield, CA
National Provider Identifier
1275821720
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A150344 Issued in CA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1275821720MedicaidNC
19JC6OtherNCBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017002355 CA Practitioner - Neurology 6507003118 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
A150344CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KC Tan, M.D. Medical Corporation CurrentSince Nov 1, 2023 Accepting new patients
Kern County Neurological Medical Group, Inc Neurology CurrentSince Dec 1, 2019 Accepting new patients
Yawen Wang, M.D., Inc. Neurology CurrentSince Sep 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.