Individual provider Active NPI

Andy A. Wang, MEDICAL DOCTOR

  • Diagnostic Radiology Physician
  • Pasadena, CA
National Provider Identifier
1417947250
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A46625 Issued in CA
Practice address
100 W California Blvd
Pasadena, CA 91105-3010
Phone
(626) 397-5139
Fax
(626) 447-1058
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A46625 CA
Nuclear Radiology Physician 2085N0904X A46625 CA
Diagnostic Radiology Physician 2085R0202X A46625 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X A46625 CA
Diagnostic Ultrasound Physician 2085U0001X A46625 CA

Addresses

Primary practice location

100 W California Blvd
Pasadena, CA 91105-3010

Mailing address

223 N 1St Ave
Suite #201
Arcadia, CA 91006-7089
Phone (626) 698-7246

Other identifiers 1

IdentifierTypeStateIssuer
00A466250MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000429 CA Practitioner - Diagnostic Radiology 5092852244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiant Imaging IncGroup PAC ID 7113145558, 65 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5139

130 W Route 66
Suite 110
Glendora, CA 91740-6250
Phone (626) 914-3384

625 S Fair Oaks Ave
Suite 180
Pasadena, CA 91105-2643
Phone (626) 229-8969

751 Cordova St
Pasadena, CA 91101-2617
Phone (626) 229-8969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
87.72
Promoting interoperability
96
Improvement activities
40
Cost
74.86

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
86
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A46625CAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
The Huntington Medical Foundation Diagnostic Radiology CurrentSince Aug 16, 2024 Accepting new patients
The Hill Medical Corporation Body Imaging CurrentSince Jul 1, 1992 Accepting new patients
The Hill Medical Corporation Body Imaging CurrentSince Jul 1, 1992 Accepting new patients
California Cancer Specialists Medical Group Inc Past Accepting new patients
Huntington Medical Foundation Past Accepting new patients

Locations

223 N 1st Ave
Ste 201
Arcadia, CA 91006
Phone (626) 821-1411

301 W Huntington Dr
Ste 617
Arcadia, CA 91007
Phone (626) 247-2250

130 W Route 66
Ste 110
Glendora, CA 91740
Phone (818) 914-3384

65 N Madison Ave
Lowr
Pasadena, CA 91101
Phone (626) 793-8189

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

625 S Fair Oaks Ave
Ste 180
Pasadena, CA 91105
Phone (626) 229-8969

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

751 Cordova St
Pasadena, CA 91101
Phone (626) 229-8969

10 Pico St
Pasadena, CA 91105
Phone (626) 397-5840

625 S Fair Oaks Ave
Ste 140
Pasadena, CA 91105
Phone (626) 698-7240

625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969

1509 W Cameron Ave
Ste D100
West Covina, CA 91790
Phone (626) 698-7266

Interoperability endpoints

  • Direct secure messaging: awang432086@direct.cshs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1417947250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N 1ST AVE",
            "address_2": "SUITE #201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067089",
            "telephone_number": "626-698-7246",
            "fax_number": "626-447-1058"
        },
        {
            "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": "626-397-5139",
            "fax_number": "626-447-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "ANDY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A46625",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "A46625",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A46625",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A46625",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A46625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A466250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.