Individual provider Active NPI

Siyuan Wang, DO

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1356722250
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A20485 Issued in CA
Practice address
6655 Alvarado Rd
San Diego, CA 92120-5208
Phone
(800) 926-8273
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB10642800 NJ
Emergency Medicine Physician 207P00000X 298010 NY
Emergency Medicine Physician 207P00000X 20A20485 CA Primary

Addresses

Primary practice location

6655 Alvarado Rd
San Diego, CA 92120-5208

Mailing address

File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273

Other practice location 1

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (442) 281-5000

Other practice location 2

707 E Main St
Middletown, NY 10940-2667
Phone (845) 333-1000

Other practice location 3

68 Harris Rd
Harris, NY 12742
Phone (845) 794-3300

Other identifiers 1

IdentifierTypeStateIssuer
0728195MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190703000360 NY Practitioner - Emergency Medicine 3274867726 Reassigns benefits to 5 organizations
I20230314002262 CA Practitioner - Emergency Medicine 3274867726 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palomar Emergency Physicians, IncGroup PAC ID 9830593730, 71 clinicians

Practice addresses (Care Compare)

15615 Pomerado Rd
Poway, CA 92064-2405
Phone (310) 379-2134

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (858) 657-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
85.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20485CAMDEmergency Medicine Physician
25MB10642800NJMDEmergency Medicine Physician
298010NYMDEmergency Medicine Physician
20485CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Regents of the University of California CurrentSince Aug 5, 2024 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Jun 20, 2019 Accepting new patients
Sullivan Emergency Services PC Emergency Medicine CurrentSince Jun 9, 2019 Accepting new patients
Regents of the University of California Current Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Apr 24, 2023 Accepting new patients
Alvarado Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Jun 20, 2019 Accepting new patients
Orange Emergency Services PC Emergency Medicine CurrentSince Sep 23, 2019 Accepting new patients
Regents of the University of California Emergency Medicine Current Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Regents of the University of California CurrentSince Aug 5, 2024 Accepting new patients
Southland Emergency Medical Associates Inc Emergency Medicine CurrentSince Feb 8, 2023 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

File 57326
Los Angeles, CA 90074

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1356722250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900747326",
            "telephone_number": "800-926-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 ALVARADO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "800-926-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2185 Citracado Pkwy",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920294159",
            "country_code": "US",
            "telephone_number": "442-281-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402667",
            "country_code": "US",
            "telephone_number": "845-333-1000",
            "fax_number": "845-333-2329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Harris Rd",
            "address_purpose": "LOCATION",
            "city": "Harris",
            "state": "NY",
            "postal_code": "12742",
            "country_code": "US",
            "telephone_number": "845-794-3300",
            "fax_number": "845-794-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "SIYUAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10642800",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "298010",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A20485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0728195",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.