Individual provider Active NPI

George Jia-CHI Wang, P.A.

  • Medical Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1447337118
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
53032 Issued in CA
Practice address
2011 Wilshire Blvd Ste 300
Los Angeles, CA 90057-3503
Phone
(213) 413-2700
Fax
(213) 413-6722
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA04763 TX
Medical Physician Assistant 363AM0700X 53032 CA Primary
Physician Assistant 363A00000X 53032 CA

Addresses

Primary practice location

2011 Wilshire Blvd Ste 300
Los Angeles, CA 90057-3503

Mailing address

2 Greenway PLZ Ste 900
Houston, TX 77046-0205
Phone (713) 798-1750

Other practice location 1

1023 E Florida Ave
Hemet, CA 92543-4510
Phone (951) 599-8403

Other practice location 2

91275 66th Avenue, #500
Mecca, CA 92254
Phone (760) 396-1249

Other practice location 3

1504 Taub Loop
Dept. of Surgery
Houston, TX 77030-1608
Phone (713) 873-4557

Other identifiers 2

IdentifierTypeStateIssuer
184845901MedicaidTX
184845902MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210628002478 CA Practitioner - Physician Assistant 1254355159 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camarena HealthGroup PAC ID 4880584317, shared by 24 NPIs, 79 clinicians

Practice addresses (Care Compare)

344 E 6TH St
Madera, CA 93638-3631
Phone (559) 664-4000

Hospital & facility affiliations

  • Adventist Health Reedley Hospital, Reedley, CA, CCN 050192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53032CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Baart Community Healthcare CurrentSince Mar 16, 2021 Accepting new patients
Bobby Pezeshki MD Inc CurrentSince Apr 9, 2023 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Clinicas de Salud del Pueblo Inc. Past Accepting new patients

Locations

2011 Wilshire Blvd
Ste 300
Los Angeles, CA 90057
Phone (213) 205-1890

1926 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 353-1140

Interoperability endpoints

  • Direct secure messaging: george.wang.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: george.wang.1@25900.direct.athenahealth.com

Organizations & group practices 9

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1447337118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREENWAY PLZ STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770460205",
            "telephone_number": "713-798-1750",
            "fax_number": "713-798-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 WILSHIRE BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573503",
            "telephone_number": "213-413-2700",
            "fax_number": "213-413-6722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1023 E Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434510",
            "country_code": "US",
            "telephone_number": "951-599-8403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91275 66th Avenue, #500",
            "address_purpose": "LOCATION",
            "city": "Mecca",
            "state": "CA",
            "postal_code": "92254",
            "country_code": "US",
            "telephone_number": "760-396-1249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 Taub Loop",
            "address_2": "Dept. of Surgery",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "713-873-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "GEORGE",
        "middle_name": "JIA-CHI",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04763",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53032",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184845901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184845902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.