Individual provider Active NPI

Janice Emilie Ma, MD

  • Dermatology Physician
  • Pasadena, CA
National Provider Identifier
1306330410
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A163442 Issued in CA
Practice address
70 S Lake Ave Ste 930
Pasadena, CA 91101-4938
Phone
(626) 514-1472
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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 A163442 CA Primary

Addresses

Primary practice location

70 S Lake Ave Ste 930
Pasadena, CA 91101-4938

Mailing address

70 S Lake Ave Ste 930
Pasadena, CA 91101-4938
Phone (626) 514-1472

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
I20221005003412 CA Practitioner - Dermatology 3173909694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Mayo Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Y Wang MD IncGroup PAC ID 7618213406, 15 clinicians

Practice addresses (Care Compare)

70 S Lake Ave
Suite 930
Pasadena, CA 91101-4938
Phone (626) 514-1472

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions46
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163442CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James Y. Wang, MD, Inc. Dermatology CurrentSince Sep 1, 2022 Accepting new patients

Locations

11645 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 481-0481

888 S Figueroa St
Ste 1050
Los Angeles, CA 90017
Phone (213) 319-3339

70 S Lake Ave
Ste 930
Pasadena, CA 91101
Phone (626) 514-1472

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1306330410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S LAKE AVE STE 930",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014938",
            "telephone_number": "626-514-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S LAKE AVE STE 930",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014938",
            "telephone_number": "626-514-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "JANICE",
        "middle_name": "EMILIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A163442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.