NPIMap

Individual provider Active NPI

Wei Wang, MD

  • Neurology Physician
  • San Jose, CA
National Provider Identifier
1396704482
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A91418 Issued in CA
Practice address
2101 Forest Ave
Suite 221
San Jose, CA 95128-1448
Phone
(408) 216-8763
Fax
(408) 416-3706
NPI assigned
Mar 20, 2006
Last updated
Nov 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A91418 CA
Neurology Physician 2084N0400X A91418 CA Primary
Vascular Neurology Physician 2084V0102X A91418 CA
Neurology Physician 2084N0400X 01055906A IN

Addresses

Primary practice location

2101 Forest Ave
Suite 221
San Jose, CA 95128-1448

Mailing address

2101 Forest Ave
Suite 221
San Jose, CA 95128-1448
Phone (408) 216-8763

Other identifiers 4

IdentifierTypeStateIssuer
9397577OtherINPHCS PID NUMBER
11385409OtherINCAQH NUMBER
200374900MedicaidIN
000000221797OtherINANTHEM PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000261 CA Practitioner - Neurology 2264459395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2550 Samaritan Dr
Suite F
San Jose, CA 95124-4104
Phone (408) 216-8763

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as individual
Quality
72.04
Promoting interoperability
95
Improvement activities
40
Cost
65.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01055906AINMDNeurology Physician
A91418CAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Neurocare, Inc Neurology CurrentSince Nov 1, 2008 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients

Locations

2101 Forest Ave
Ste 221
San Jose, CA 95128
Phone (408) 216-8763

2504 Samaritan Dr
Ste 10
San Jose, CA 95124
Phone (408) 216-8763

2550 Samaritan Dr
Ste F
San Jose, CA 95124
Phone (408) 216-8763

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBACBD/Endpoint/FBACBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBACBD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1396704482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE",
            "address_2": "SUITE 221",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281448",
            "telephone_number": "408-216-8763",
            "fax_number": "408-416-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE",
            "address_2": "SUITE 221",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281448",
            "telephone_number": "408-216-8763",
            "fax_number": "408-416-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "WEI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A91418",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A91418",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A91418",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01055906A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PID NUMBER",
            "identifier": "9397577",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "11385409",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200374900",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000221797",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.