Yan Wang, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

A97608 Issued in CA

Practice address

11509 Marissa Way
Gold River, CA 95670-6229

Phone

(916) 631-9048

NPI assigned

May 29, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437350436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11509 MARISSA WAY",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956706229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11509 MARISSA WAY",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956706229",
            "telephone_number": "916-631-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A97608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Marie Vining
• Kaitlyn Vo, MA, AMFT
• Susan Vogel, R.PH.
• Janis Nelson Walters, LMFT, LPCC
• Amy Gerrit Wandel, MD
• Pamela Y Ward, APCC
• Leonard Russell Worden, M.D.
• Annie Sue Yang
• David Cheng-I Yang, M.D.
• Steven John Yee, PHARM.D.

• Legal Medicine in Gold River, CA
• Providers in Gold River, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.