Xuedong Wang MD PHD Apc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A63196 Issued in CA

Legal business name

XUEDONG WANG MD PHD APC

Practice address

100 W California Blvd
Pasadena, CA 91105-3010

Phone

(626) 397-8616

Fax

(626) 397-2156

NPI assigned

Nov 4, 2010

Last updated

Nov 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Xuedong Wang, M.D.NPI 1275558298

Title

President

Phone

(626) 397-8616

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xuedong Wang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pasadena, CA
  • NPI 1275558298
  Authorized official Same address or phone

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1407157514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053010",
            "telephone_number": "626-397-8616",
            "fax_number": "626-397-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053010",
            "telephone_number": "626-397-8616",
            "fax_number": "626-397-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XUEDONG WANG MD PHD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "XUEDONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-397-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A63196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1275558298",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xingu River Holdings LLC
• Gui Wen Xu, N.P.
• Mingda Xu, FNP-C
• Rumin Xu, L AC PHD
• Heidi Xue
• Talin Yacoubian
• Yafa Minazad D.O., Inc.
• Yaghjian Chiropractic a Professional Corporation (Yaghjian Chiropractic Clinic)
• Ara V Yaghjian, DC
• Babak Yaghmai, MEDICAL DOCTOR

• Anatomic Pathology & Clinical Pathology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.