Individual provider Active NPI

Felix W Wang, M.D.

  • Diagnostic Radiology Physician
  • Clovis, CA
National Provider Identifier
1417953274
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G52507 Issued in CA
Practice address
231 W Fir Ave
Clovis, CA 93611-0220
Phone
(559) 297-0300
Fax
(559) 323-5461
NPI assigned
Jun 24, 2005
Last updated
Feb 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X G52507 CA
Diagnostic Radiology Physician 2085R0202X G52507 CA Primary

Addresses

Primary practice location

231 W Fir Ave
Clovis, CA 93611-0220

Mailing address

231 W Fir Ave
Clovis, CA 93611-0220
Phone (559) 297-0300

Other identifiers 1

IdentifierTypeStateIssuer
00G525070MedicaidCA

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
I20040708000755 CA Practitioner - Diagnostic Radiology 6507844438 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.24 of 100Reported as group
Quality
51.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52507CAMDMarriage & Family Therapist
G52507CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Jul 10, 2018 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jul 10, 2018 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Mar 14, 2018 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Mar 14, 2018 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Mar 14, 2018 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Mar 14, 2018 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Mar 14, 2018 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Mar 14, 2018 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Mar 14, 2018 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Mar 14, 2018 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Mar 14, 2018 Accepting new patients
California Cancer Associates for Research and Excellence Inc Diagnostic Radiology Past Accepting new patients
Fresno Imaging Center Medical Group Diagnostic Radiology Past Accepting new patients

Locations

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980

79 Scripps Dr
Ste 100
Sacramento, CA 95825
Phone (916) 921-1200

3440 California St
San Francisco, CA 94118
Phone (415) 922-6767

3536 Mendocino Ave
Ste 280
Santa Rosa, CA 95403
Phone (707) 579-8226

1801 E March Ln
Ste A130
Stockton, CA 95210
Phone (209) 475-9871

114 La Casa Via
Ste 100
Walnut Creek, CA 94598
Phone (925) 937-6100

57840 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 228-1047

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1417953274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W FIR AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110220",
            "telephone_number": "559-297-0300",
            "fax_number": "559-323-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W FIR AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110220",
            "telephone_number": "559-297-0300",
            "fax_number": "559-323-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "FELIX",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "G52507",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G52507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G525070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.