Active NPI
Kai Wang, DPT
- Physical Therapist
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 293190
- Practice address
- 301 Lennon LN Ste 202
Walnut Creek, CA 94598-2433 - Phone
- (925) 934-6373
- Fax
- (925) 934-3363
- NPI assigned
- Jul 13, 2017
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 293190 | CA | Primary |
Addresses
Primary practice location
301 Lennon LN Ste 202
Walnut Creek, CA 94598-2433
Mailing address
638 Maine St
Vallejo, CA 94590-6150
Phone (530) 400-9148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1460 Drew Ave
Suite 200
Dans, CA 95618-4856
Phone (530) 753-9011
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293190 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Edge Specialty Services | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Physical Edge, Inc. | Physical Therapist | Current | Accepting new patients |
| Pleasanton Physical Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1460 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 753-9011
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Davis, CA
- NPI 1770675639
-
- Physical Therapist
- Davis, CA
- NPI 1740894005
-
- Physical Therapist
- Pleasanton, CA
- NPI 1336295138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1366964165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 MAINE ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945906150",
"telephone_number": "530-400-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 LENNON LN STE 202",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982433",
"telephone_number": "925-934-6373",
"fax_number": "925-934-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "KAI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-13",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "293190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.