Sandy Wang, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95001187 Issued in CA

Practice address

13171 Mindanao Way
Marina del Rey, CA 90292-6307

Phone

(310) 821-8908

NPI assigned

Sep 22, 2014

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, NJ, WA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sandy.wang.1@30093.direct.athenahealth.com

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.

• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Bellevue, WA
  • NPI 1689249096
  Medicare reassignment NPD
• Southern Arizona Urgent Care LLC

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1285994004
  Medicare reassignment NPD
• Central Jersey Urgent Care

  • Urgent Care Clinic/Center
  • Ocean, NJ
  • NPI 1316285091
  Medicare reassignment
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1396317079
  NPD
• Southern Arizona Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1386003788
  NPD
• David Kagan MD Inc

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1861926669
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1467854497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 MARINA POINTE DR UNIT 1625",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902929272",
            "telephone_number": "909-319-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13171 MINDANAO WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926307",
            "telephone_number": "310-821-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "SANDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95001187",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "1467854497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Walker
• Jasmine Walton
• Wang Anesthesia Nursing Management Inc (Wang Anesthesia Management)
• Chuen-Shin Cynthia Wang, MD
• Hueyyoung Emily Wang
• Warby Parker Inc.
• Eleby Rudolph Washington III, M.D.
• Vance Marshal Washington, MD
• Watkins Spine, Inc.
• Robert Green Watkins IV, M.D.

• Family Nurse Practitioner in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.