Organization Active NPI

Yi Wang, M.D., Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Walnut, CA
National Provider Identifier
1386831139
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A98547 Issued in CA
Legal business name
YI WANG, M.D., INC.
Practice address
20651 Golden Springs Dr
Suite 300
Walnut, CA 91789-3866
Phone
(626) 715-7575
Fax
(909) 594-0696
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Yi Wang, M.D.
Title
Ceo
Phone
(626) 715-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X A98547 CA Primary

Addresses

Primary practice location

20651 Golden Springs Dr
Suite 300
Walnut, CA 91789-3866

Mailing address

20651 Golden Springs Dr
Suite 300
Walnut, CA 91789-3866
Phone (626) 715-7575

National Provider Directory

National Provider Directory

Locations

20651 Golden Springs Dr
Ste 300
Walnut, CA 91789
Phone (626) 715-7575

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1386831139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20651 GOLDEN SPRINGS DR",
            "address_2": "SUITE 300",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893866",
            "telephone_number": "626-715-7575",
            "fax_number": "909-594-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20651 GOLDEN SPRINGS DR",
            "address_2": "SUITE 300",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893866",
            "telephone_number": "626-715-7575",
            "fax_number": "909-594-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YI WANG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-715-7575",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A98547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.