Individual provider Active NPI

Jeffrey William Wang, MD

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1316500150
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G84247 Issued in CA
Practice address
2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520
Phone
(925) 296-7150
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G84247 CA Primary

Addresses

Primary practice location

2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520

Mailing address

2125 Oak Grove Rd Ste 200
Walnut Creek, CA 94598-2520

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
I20250722001240 CA Practitioner - Diagnostic Radiology 3274875596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnetic Imaging Affiliates LLCGroup PAC ID 5496066961, 43 clinicians

Practice addresses (Care Compare)

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-1566

5730 Telegraph Ave
Oakland, CA 94609-1710
Phone (510) 204-2744

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G84247CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Jul 25, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jul 25, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jul 25, 2025 Accepting new patients

Locations

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1316500150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982520",
            "telephone_number": "925-296-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G84247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.