Stewart Pey-Hsin Wang, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G85318 Issued in CA

Practice address

76 N Hudson Ave Ste 100
Pasadena, CA 91101-1827

Phone

(909) 985-6513

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 16, 2017 through Feb 16, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1306878491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 N HUDSON AVE STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011827",
            "telephone_number": "909-985-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 N HUDSON AVE STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011827",
            "telephone_number": "909-985-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "STEWART",
        "middle_name": "PEY-HSIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G85318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G853180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Wang, MD
• Kenneth Wang, PHD
• Li Wang, DO
• Linan Wang, MD
• Shyan Daw Wang, LCSW
• Tabitha Wang, LMFT
• Tina Wang, M.D.
• Vicki Hyuna Wang, DDS
• Vincent Wen-Hsieng Wang, D.D.S
• Wei CHI Wang

• Plastic Surgery Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.