Active NPI
Carole Wang
- Peer Specialist
- Fremont, CA
National Provider Identifier
1457220899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-FBVLXZ
- Practice address
- 3100 Capitol Ave Ste C
Fremont, CA 94538-1527 - Phone
- (510) 791-8608
- NPI assigned
- Nov 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-FBVLXZ | CA | Primary |
Addresses
Primary practice location
3100 Capitol Ave Ste C
Fremont, CA 94538-1527
Mailing address
38880 Guardino Dr Apt 1510
Fremont, CA 94536-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-FBVLXZ | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Association for Chinese Communities | Peer Specialist | Current | Accepting new patients |
Locations
3100 Capitol Ave
Ste C
Fremont, CA 94538
Phone (510) 791-8608
Organizations & group practices 1
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.
-
- Peer Specialist
- Fremont, CA
- NPI 1588532451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1457220899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38880 GUARDINO DR APT 1510",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CAPITOL AVE STE C",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381527",
"telephone_number": "510-791-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "CAROLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-FBVLXZ",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.