Active NPI
Chung-Che Charles Wang, MD
- Psychiatry Physician
- Oakland, CA
National Provider Identifier
1346329471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A87067
- Practice address
- 2633 E 27TH St
Oakland, CA 94601-1912 - Phone
- (650) 380-7071
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A87067 | CA | Primary |
Addresses
Primary practice location
2633 E 27TH St
Oakland, CA 94601-1912
Mailing address
PO Box 60424
265 Cambridge Ave
Palo Alto, CA 94306-0424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A870670 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A87067 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Medical Group, PC | Psychiatry | Past | Accepting new patients |
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": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273276800000",
"number": "1346329471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60424",
"address_2": "265 CAMBRIDGE AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943060424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 E 27TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946011912",
"telephone_number": "650-380-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "CHUNG-CHE",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2010-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A87067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A870670",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.