Evelyn Wangsa

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95004913 Issued in CA

Practice address

161 W Fairview Ave
San Gabriel, CA 91776-2959

Phone

(562) 293-8777

NPI assigned

Sep 3, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Saviors Advanced Medical Group IncGroup PAC ID 1557863347, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wound Saviors Advanced Medical Group Inc

  • Family Nurse Practitioner
  • Long Beach, CA
  • NPI 1013809854
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1407303753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W FAIRVIEW AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762959",
            "telephone_number": "562-293-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W FAIRVIEW AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762959",
            "telephone_number": "562-293-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGSA",
        "first_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-03",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95004913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luqiu Wang, P.A.C.
• Philip Wang, LAC
• Shih-Fang Wang, MD
• Weisheng Wang
• Yin Shih Alice Wang
• Wardah 1, Inc
• Washington Eye Clinic
• Jessica Erin Weinhold
• Well Care Medical Group Professional Corporation
• Wellcome Pharmacy Group Inc

• Primary Care Nurse Practitioner in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.