Active NPI
Lorraine CF Wang
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1285030189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA52930
- Practice address
- 400 W 30TH St
Los Angeles, CA 90007-3320 - Phone
- (909) 272-7782
- NPI assigned
- Nov 5, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA52930 | CA | Primary |
Addresses
Primary practice location
400 W 30TH St
Los Angeles, CA 90007-3320
Mailing address
226 Benicia Rd
Diamond Bar, CA 91765-1601
Phone (909) 272-7782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA52930 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Greater New York Inc | Past | Accepting new patients |
Interoperability endpoints
- lorraine.wangpa.p1@direct.plannedparenthoodla.nextgenshare.com
Organizations & group practices 1
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.
-
- Ambulatory Family Planning Facility
- Brooklyn, NY
- NPI 1417959701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1285030189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 BENICIA RD",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651601",
"telephone_number": "909-272-7782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 30TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073320",
"telephone_number": "909-272-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "LORRAINE",
"middle_name": "CF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-05",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA52930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.