Yibo Wang, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95032164 Issued in CA

Practice address

1156 Steffen St
Glendora, CA 91741-3734

Phone

(626) 623-0623

NPI assigned

Nov 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1386467090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 STEFFEN ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413734",
            "telephone_number": "626-623-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 STEFFEN ST",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413734",
            "telephone_number": "626-623-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YIBO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Walters
• John T Wang, DDS
• Veronica D Wang, NP
• Wei-Cheng Wang, LAC
• Yan Wang, MD
• Bonnie Louise Warner, LMFT
• Wasim Mouazzen M.D., Inc.
• John Alexander Watson, RN
• Marianne Elizabeth Weber, M.S.,C.C.C.
• Cathryn Johanna Wechsler, M.D.

• Family Nurse Practitioner in Glendora, CA
• Providers in Glendora, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.